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Organised haematoma of the sphenoid sinus mimicking a pituitary tumour

Published online by Cambridge University Press:  23 June 2009

T Nakagawa ,
Y Kawai ,
T Sakamoto  and
J Ito
T Nakagawa*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan
Y Kawai
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan
T Sakamoto
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan
J Ito
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Japan
*
Address for correspondence: Dr Takayuki Nakagawa, Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kawaharacho 54, Shogoin, Sakyo-ku, 606-8507 Kyoto, Japan. Fax: +81 75 751 7225 E-mail: tnakagawa@ent.kuhp.kyoto-u.ac.jp
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Abstract

Objective:

We report an extremely rare case of an organised haematoma arising in the sphenoid sinus.

Case report:

An 85-year-old woman presented with an expansile soft tissue mass in the left sphenoid sinus, with bony destruction of the sella turcica, which mimicked the extrasellar extension of a pituitary tumour. The tumour was excised using an endoscopic, transsphenoidal approach. Histopathological examination revealed an organised haematoma.

Conclusion:

To our knowledge, this is the first report of an organised haematoma arising in the sphenoid sinus. This case indicates that organised haematoma should be included in the differential diagnosis of extensive sphenoid lesions; it also emphasises the importance of correct pre-operative diagnosis for therapeutic planning, as complete surgical resection by an endoscopic approach is curative.

Keywords

Sphenoid SinusHaematomaEndoscopyPituitary Fossa
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 1 , January 2010 , pp. 83 - 85
Copyright
Copyright © JLO (1984) Limited 2009

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