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Chapter-052 Nonfunctioning Sellar-Suprasellar Masses

BOOK TITLE: ESI Manual of Clinical Endocrinology

Author
1. Paul Thomas V
2. Shetty Sahana
3. Nayak Raghavendra
ISBN
9789351526476
DOI
10.5005/jp/books/12535_67
Edition
2/e
Publishing Year
2015
Pages
9
Author Affiliations
1. Christian Medical College, Vellore, Tamil Nadu, India
2. Christian Medical College, Vellore, Tamil Nadu, India
3. Christian Medical College, Vellore, Tamil Nadu, India
Chapter keywords
Sellar-suprasellar masses, sella turcica, suprasellar cistern, craniopharyngioma, germinomas, meningioma, chordoma, pituitary abscess, pituicytomas, lymphocytic hypophysitis

Abstract

Nonfunctioning of sellar-suprasellar masses constitutes a wide range of spectrum of diseases. These diseases are parenthetically discovered or present with the local mass effects and most of these sellar-suprasellar masses are benign. The disease process of the sellar, and suprasellar regions are very difficult to understand by understanding the anatomy of these regions. Sellar region comprises of the sella turcica, and the pituitary gland whereas suprasellar region comprises of suprasellar cistern, hypothalamus, and ventral inferior third ventricle. Classification covers the topics on clinical presentation, management, nonfunctioning pituitary adenoma (NFPA), craniopharyngioma, Rathke’s cleft cyst, germinomas, metastases, meningioma, chordoma, pituitary abscess, pituicytomas, pituitary hyperplasia, lymphocytic hypophysitis, management, medical management, surgery, and radiotherapy. If there is any definite treatment for tumor recurrence then clinical and radiological surveillance is recommended.

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