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Sellar-parasellar brown tumor: Case report and review of literature

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Yılmazlar, Selçuk
Arslan, Erhan
Aksoy, Kaya
Tolunay, Şahsine

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Thieme Medical

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Abstract

Brown tumors are the end stage of primary or secondary hyperparathyroidism. Such lesions are rare because hyperparathyroldism is now usually diagnosed and treated before they develop. Skeletal bone is most frequently involved, whereas sellar-parasellar involvement is extremely rare. We report a patient with a brown tumor involving the sellar-parasellar region associated with primary hyperparathyroidism. The patient's clinical history and biochemical and radiological tests were used for the diagnosis. Excision of the sellar-parasellar mass enabled histopathological confirmation and surgical decompression of neural structures. After the transsphenoidal surgery, excision of a parathyroid adenoma normalized the patient's metabolic status. Brown tumors are rarely associated with complications but occasionally may compress neural structures such as the optic nerve as they enlarge.

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Neurosciences and neurology, Otorhinolaryngology, Surgery, Hyperparathyroidism, Brown tumor, Sellar-parasellar region, Transsphenoidal surgery, Secondary hyperparathyroidism, Paraplegia, Patient, Disease

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Yılmazlar, S. vd. (2004). “Sellar-parasellar brown tumor: Case report and review of literature”. Skull Base-an Interdisciplinary Approach, 14(3), 163-168.

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