| CASE REPORT |
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| Year : 2021 | Volume
: 4
| Issue : 2 | Page : 52-55 |
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Multiple myeloma masquerading as sellar mass: A case report and review of literature
Jaspreet Singh1, Swayamsidha Mangaraj1, Priyanka Samal2, Pritish Chandra Patra2
1 Department of Endocrinology, IMS & SUM Medical College and Hospital, Bhubaneswar, Odisha, India
2 Department of Hematology, IMS & SUM Medical College and Hospital, Bhubaneswar, Odisha, India
Correspondence Address:
Dr. Swayamsidha Mangaraj
Department of Endocrinology, IMS & SUM Medical College and Hospital, Bhubaneswar, Odisha
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJNO.IJNO_11_21
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Tumors involving sellar and parasellar regions can present with headache, visual disturbances, cranial nerve deficits, and other neurological symptoms. Patients with such tumors can also present with endocrine dysfunction due to a hormone excess or deficient state. As many lesions in this critical area are slow growing in nature, they may evade early clinical detection and may present after a long period of time. Pituitary adenomas represent an overwhelming majority of sellar masses, whereas various nonpituitary tumors or metastases can also present with similar findings. Differentiation between pituitary and nonpituitary pathology is critical, as management strategies for the disorders mentioned earlier differ significantly. In such cases, radiological and histopathological evaluations are pivotal for arriving at a correct diagnosis. We describe an interesting case of sellar mass that presented with cranial nerve deficits and endocrine dysfunction, which was subsequently attributed to the myelomatous involvement of sella due to a relapse of multiple myeloma. |
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