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Journal article

Case report: Trabecular juvenile ossifying fibroma presenting as a sellar mass.

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  • 2012-07-11
Published in:
  • Journal of neurological surgery. Part A, Central European neurosurgery. - 2013
Adolescent
Anisocoria
Blepharoptosis
Combined Modality Therapy
Diplopia
Female
Fibroma, Ossifying
Headache
Hormones
Humans
Image Processing, Computer-Assisted
Immunohistochemistry
Magnetic Resonance Imaging
Neoplasm Recurrence, Local
Neurosurgical Procedures
Proton Therapy
Sella Turcica
Trabecular Meshwork
English A 15-year-old girl presented with left occulomotor nerve palsy and was found to have a space occupying lesion of the sellar region with invasion of the left cavernous sinus. A transsphenoidal approach lead to subtotal removal of a solid tumor with some remnants in the cavernous sinus and revealed the diagnosis of trabecular juvenile ossifying fibroma (JOF). A repeat magnetic resonance imaging was obtained within 1 month that showed intrasellar recurrence and growing tumor in the cavernous sinus. Therefore, a combined transsphenoidal and transcranial approach was performed to more aggressively remove the tumor. Subsequently, adjuvant proton radiotherapy was performed. JOF of the trabecular type is a rare fibro-osseous lesion of the craniofacial skeleton almost exclusively occurring in the maxilla or the mandible. To our knowledge, this is the first case of this tumor entity presenting as a sellar mass.
Language
  • English
Open access status
green
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https://sonar.ch/global/documents/275113
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