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KMID : 0191120020170010147
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Journal of Korean Medical Science
2002 Volume.17 No. 1 p.147 ~ p.150
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Intrasellar Schwannoma Mimicking Pituitary Adenoma: A Case Report
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Jong Hyun Kim/Sung Mock Whee
Jung Il Lee/Jong Hyun Kim
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Abstract
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Intrasellar location of schwannoma is extremely rare, although intracranial schwannomas account for up to 8% of all primary brain tumors. An unusual case of an intrasellar schwannoma radiographically and clinically simulating a pituitary adenoma is reported. A 39-yr-old man presented a 10-month history of visual disturbance and decreased libido. Neurological examination showed poor visual acuity of both eyes with bitemporal hemianopsia. Computed tomography and magnetic resonance imaging showed a sellar tumor with suprasellar extension. Pituitary adenoma was considered as a preoperative diagnosis. The tumor was removed through a trans-sphenoidal approach. Microscopic examination of the tumor revealed schwannoma.
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KEYWORD
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Schwannoma, Pituitary Neoplasms,
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