关键词: MALT lymphoma hormone replacement therapy pituitary stalk mass primary CNS lymphoma surgery

来  源:   DOI:10.3389/fneur.2023.1193391   PDF(Pubmed)

Abstract:
UNASSIGNED: Primary extranodal mucosa-associated lymphoid tissue (MALT) lymphoma in the sellar region is a rare indolent B-cell lymphoma.
UNASSIGNED: A newly diagnosed patient with MALT lymphoma originating from the pituitary stalk is reported. A space-occupying lesion in the sellar region was found in a 24 year-old man who had no clinical symptoms except for those relating to a sex hormone disorder (rising estrogen and falling androgen) identified during a pre-employment physical examination. MALT lymphoma was diagnosed pathologically. Radiotherapy and chemotherapy were proposed after surgery. However, the patient selected androgen replacement therapy only rather than chemoradiotherapy. Over the next 3 months, no visual disturbance, headache, cranial nerve abnormality, or other symptoms occurred.
UNASSIGNED: Primary sellar region MALT lymphoma is an extremely rare disease. The differential diagnosis of sellar and parasellar masses should include primary sellar region MALT lymphoma. Early detection and treatment of this lymphoma can effectively improve the prognosis.
摘要:
鞍区原发性结外粘膜相关淋巴组织(MALT)淋巴瘤是一种罕见的惰性B细胞淋巴瘤。
报道了一名新诊断的源自垂体柄的MALT淋巴瘤患者。在一名24岁的男子中发现了鞍区占位性病变,该男子除了在职前体检中发现的与性激素紊乱(雌激素上升和雄激素下降)有关的症状外,没有临床症状。病理诊断为MALT淋巴瘤。术后建议进行放疗和化疗。然而,患者仅选择雄激素替代疗法而非放化疗.在接下来的3个月里,没有视觉干扰,头痛,颅神经异常,或出现其他症状。
原发性鞍区MALT淋巴瘤是一种极为罕见的疾病。鞍区和鞍区肿块的鉴别诊断应包括原发性鞍区MALT淋巴瘤。早期发现和治疗淋巴瘤可有效改善预后。
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