Abstract
Craniopharyngioma, a common epithelial neoplasm of the sellar region, is the most frequent suprasellar neoplasm in children (1,2). However, neonatal or congenital tumors are very rare (3–5), as are tumors in the elderly (6).
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References
1.1.1. Craniopharyngioma
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1.1.2. Nasopharyngeal Carcinoma (NPC)
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1.2.1. Rathke’s Cleft Cyst
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1.2.2. Epidermoid Cyst
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1.2.3. Dermoid Cyst
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2.1.1. Gangliocytoma
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2.1.2. Hypothalamic Hamartoma
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2.1.3. Olfactory Neuroblastoma
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2.2.1. Pilocytic Astrocytoma (Infundibuloma)
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2.2.2. Optic Nerve Glioma
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2.2.3. High-Grade Glioma
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2.2.4. Granular Cell Tumor (GCT)
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2.2.5. Schwannomas
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3.1. Meningioma
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Hardy J, Roberst F. Un meningiome de la sella turcique variete sous diaphragmatique (exerese par voie transphenoidale) Neurochirurgie 1969;15:535–544.
Meyrignac C, N’Guyen JP, Blatrix C, Degos JDD. Meningiome post radique. Complication tardive de 1 irradition de la sella turcique. La Nouv Presse Med 1981;10:3246–3247.
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McKeever PE, Brissie NT. Scanning electron microscopy of neoplasms removed at surgery: Surface topography and comparison of meningioma, colloid cyst, ependymoma, pituitary adenoma, schwannoma and astrocytoma. J Neuropathol Exp Neurol 1977;36: 875–896.
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Friede RL, Yasargil MG. Suprasellar neoplasm with a granular cell component. J Neuropathol Exp Neurol 1977;36:769–782.
Mitsumori K, Maronpot RR, Boorman GA. Spontaneous tumors of the meninges in rats. Vet Pathol 1987;24:50–58.
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O’Connell JEA. Intracranial meningioma associated with other tumors involving the central nervous system. Br J Surg 1961;48: 373–383.
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Probst A. Combined occurrence of Cushing syndrome, hypophyseal adenoma and suprasellar meningioma. Case report. Zentralbl Neurochirurg 1971;32:75–82.
Bunick EM, Mills LC, Rose LI. Association of acromegaly and meningiomas. JAMA 1978;240:1267–1268.
Hyoda A, Nose T, Maki Y, Enomoto T. Pituitary adenoma and meningioma in the same patient. Neurochir (Stuttg) 1982;25:66–67.
Brennan TG Jr, Rao CVGK, Robinson W, Itani A. Case report: Tandem lesions. Chromophobe adenoma and meningioma. J Comput Assisted Tomogr 1977;1:517–520.
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4.1. Chordoma
Lana-Peixoto MA, Pittella JE, Arouca EM. Primary intracranial tumors: Analysis of a series of consecutive autopsies and biopsies. Arquivos de Neuroi-Psiquiatria 1981;39:13–24.
Volpe R, Mazabraud A. A clinicopathologic review of 25 cases of chordoma. Am J Surg Pathol 1983;7:161–170.
Austin MB, Mills SE. Neoplasms and neoplasm-like lesions involving the skull base. Ear Nose Throat J 1986;65:25–52.
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Mathews W, Wilson CB. Ectopic intrasellar chordoma: Case report. J Neurosurg 1974;40:260.
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Perzin KH, Pushparaj N. Nonepithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx. Cancer 1986;57:784–796.
Franquemont DW, Katsetos CD, Ross GW. Fatal acute pontocerebellar hemorrhage due to an unsuspected spheno-occipital chordoma. Arch Pathol Lab Med 1989;113:1075–1078.
Kendall BE. Cranial chordomas. Br J Radiol 1977;50:687–698.
Launay M, Fredy D, Merland JJ, Bories J. Narrowing and occlusion of arteries by intracranial tumors: Review of the literature and report of 25 cases. Neuroradiology 1977;14:117–126.
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Kontozoglou T, Qizilbash AH, Sianos J, Stead R. Chordoma: Cytologic and immunocytochemical study of four cases. Diagn Cytopathol 1986;2:55–61.
Marigil MA, Pardo-Mindan FJ, Joly M. Diagnosis of chordoma by cytologic examination of cerebrospinal fluid. Am J Clin Pathol 1983;80:402,403.
Apaja-Sarkkinen M, Vaananen K, Curran S, Siponen P, Autio-Harmainen H. Carcinomatous features of cervical chordoma in a fine needle aspirate. Acta Cytologica 1987;31:769–773.
Finley JL, Silverman JF, Dabbs DJ, West RL, Dickens A, Felman PS, et al. Chordoma: diagnosis by fine-needle aspiration biopsy with histologic, immunocytochemical, and ultrastructural confirmation. Diagn Cytopathol 1986;2:330–337.
Bouropoulou V, Bosse A, Roessner A, et al. Immunohistochemical investigation of chordomas: Histogenetic and differential diagnostic aspects. Current Topics Pathol 1989;80:183–203.
Coindre JM, Rivel J, Trojani M, DeMascarel I, DeMascarel A. Immunohistological study in chordomas. J Pathol 1986;150:61–63.
Meis JM, Giraldo AA. Chordoma: an immunohistochemical study of 20 cases. Arch Pathol Lab Med 1988;112:553–556.
Miettinen M, Lehto V-P, Dahl D, Virtanen I. Differential diagnosis of chordoma, chondroid, and ependymal tumors as aided by anti-intermediate filament antibodies. Am J Pathol 1983; 112:160–169.
Nakajima T, Kameya T, Watanabe S, et al. An immunoperoxidase study of S-100 protein distribution in normal and neoplastic tissues. Am J Surg Pathol 1982;6:715–727.
Nakamura Y, Becker LE, Marks A. S-100 protein in human chordoma and human and rabbit notochord. Arch Pathol Lab Med 1983;107:118–120.
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Rutherfoord GS, Davies AG. Chordomas—ultrastructure and immunohistochemistry: a report based on the examination of six cases. Histopathology 1987;11:775–787.
Salisbury JR, Isaacson PG. Demonstration of cytokeratins and an epithelial membrane antigen in chordomas and human fetal blood. Am J Surg Pathol 1985;9:791–797.
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Kay S, Schatzki PF. Ultrastructural observations of a chordoma arising in the clivus. Hum Pathol 1972;3:403–413.
Pardo-Mindan FJ, Guillen FJ, Villas C, Vazquez JJ. A comparative ultrastructural study of chondrosarcoma, chordoid sarcoma, and chordoma. Cancer 1981;47:2611–2619.
Erlandson RA, Tandler B, Lieberman PH, Higinbotham NL. Ultra-structure of human chordoma. Cancer Res 1968;28:2115–2125.
Ho KL. Ecchordosis physaliphora and chordoma: a comparative ultrastructural study. Clin Neuropathol 1985;4:77–86.
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Burger PC, Makek M, Kleihues P. Tissue polypeptide antigen staining of the chordoma and notochordal remnants. Acta Neuropathol (Berl) 1986;70:269–272.
Imrie SF, Sloane JP, Ormerod MG, Styles J, Dean CJ. Detailed investigation of the diagnostic value of tumour histopathology of ICR.2, a new monoclonal antibody to epithelial membrane antigen. Histopathology 1990;16:573–581.
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Brooks JJ, LiVolsi VA, Trojanowski JQ. Does chondroid chordoma exist? Acta Neuropathol 1987;72:229–235.
Mierau GW, Weeks DA. Chondroid chordoma. Ultra Pathol 1987;11:731–737.
Ohshima T, Sakamoto M, Takasugi S, Matsumoto K, Asano N, Kouyama Y. Three cases of intracranial chordoma. Typical chordoma and chondroid chordoma. No Shinkei Geka 1984;12:591–598.
Hruban RH, Traganos F, Reuter VE, Huvos AG. Chordomas with malignant spindle cell components. A DNA flow cytometric and immunohistochemical study with histogenetic implications. Am J Pathol 1990;137:436–447.
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4.2. Giant Cell Tumor of Bone (GCTB)
Viale GL. Giant cell tumours of the sellar region. Acta Neurochir 1977;38:259–268.
Jacas R, Bermejo A. Giant cell tumors of the sellar region Acta Neurochirurgica 1979;(Suppl)28:416–417.
Wolfe JT, Scheithauer BW, Dahlin DC. Giant cell tumor of the sphenoid bone. Review of 10 cases. J Neurosurg 1983;59:322–327.
Wu KK, Ross PM, Mitchell DC, Sprague HH. Evolution of a case of multicentric giant cell tumor over a 23-year period. Clin Orthop RelRes 1986;213:279–288.
Opitz H, Petersen D, Heiss E, Duffner F, Meyermann R. Giant cell tumor of the occipital bone in a case of von Recklinghausen neurofibromatosis. Clin Neuropathol 1996;15:226–230.
Curilovic A, Eich GF, Stallmach T. Giant cell tumor in a skull of a 9-year-old child: immunohistochemistry to confirm a diagnosis rare for age and site. Pediatr Pathol Lab Med 1995;15:769–779.
Rock JP, Mahmood A, Cramer HB. Giant cell tumor of skull base. Am J. Otol 1994;15:268–272.
Monda L, Wick MR. S-100 protein immunostaining in the differential diagnosis of chondroblastoma. Hum Pathol 1985;16:287–293.
Bertoni F, Unni KK, Beabout JW, Ebersold MJ. Giant cell tumors of the skull. Cancer 1992;70:1124–1132.
Martins AN, Dean DF. Giant cell tumor of sphenoid bone: Malignant transformation following radiotherapy. Surg Neurol 1984;2:105–107.
4.3. Hemangiopericytoma
Eichhorn JH, Dickersin GR, Bhan AK, Goodman ML. Sinonasal hemangiopericytoma. A reassessment with electron microscopy, immunohistochemistry, and long-term follow-up. Am J Surg Pathol 1990;14:856–66.
D’Amore ES, Manivel JC, Sung JH. Soft-tissue and meningeal hemangiopericytomas: an immunohistochemical and ultrastructural study. Hum Pathol 1990;21:414–423.
Davidson GS, Hope J. Meningeal tumors of childhood. Cancer 1989;63:1205–1210.
Iwaki T, Fukui M, Takeshita I, Tsuneyoshi M, Tateishi J. Hemangiopericytoma of the meninges: a clinicopathologic and immunohistochemical study. Clin Neuropathol 1988;7:93–99.
Austin MB, Mills SE. Neoplasms and neoplasm-like lesions involving the skull base. Ear Nose Throat J 1986;65:57–73.
Winek RR, Scheithauer B W, Wick MR. Meningioma, meningeal hemangiopericytoma (angioblastic meningioma), peripheral hemangiopericytoma, and acoustic schwannoma. A comparative immunohistochemical study. Am J Surg Pathol 1989; 13: 251–261.
Kumar PP, Good RR, Skultety FM, Masih AS, McComb RD. Spinal metastases from pituitary hemangiopericytic meningioma. Am J Clin Oncol 1987;10:422–428.
Kumar PP, Good RR, Cox TA, Leibrock LG, Skultety FM. Reversal of visual impairment after interstitial irradiation of pituitary tumor. Neurosurgery 1986;18:82–84.
Nikonov AA, Matsko DE. Pituitary hemangiopericytoma. Arkhiv Patholagii 1985;47:79–83.
Mangiardi JR, Flamm ES, Cravioto H, Fisher B. Hemangiopericytoma of the pituitary fossa: case report. Neurosurgery 1983;13:58–62.
Kumar PP, Good RR, Leibrock LG, Mawk JR, Yonkers AJ, Ogren FP. High activity iodine 125 endocurietherapy for recurrent skull base tumors. Cancer 1988;61:1518–1527.
Orf G. “Angioreticuloma” of the sella turcica. Acta Neurochir (Wien) 1970;23:63–78.
Yokota M, Tani E, Maeda Y, Morimura T, Kakudo K, Uematsu K. Acromegaly associated with suprasellar and pulmonary hemangiopericytomas. Case report. J Neurosurg 1985;62:767–771.
Takahashi S, Higano S, Ishii K, Matsumoto K, Shimanuki Y, Ishibashi T, et al. CT and MR image findings of sphenoidal masses. Nippon Igaku Hoshasen Gakkai Zasshi 1994;54:751–760.
McKeever PE, Blaivas M, Nelson JS. The diagnosis of brain and spinal tumors by conventional light microscopic methods. In: Garcia JH, Budka H, McKeever PE, Sarnat HB, Sima AAF, eds. Neuropathology: The Diagnostic Approach. Mosby-Yearbook, Philadelphia, 1997, pp. 31–96.
Mandahl N, Orndal C, Heim S, Willen H, Rydholm A, Bauer HCF, etal. Aberrations of chromosome segment 12ql3–15 characterize a subgroup of hemangiopericytomas. Cancer 1993;71:3009–3013.
Gollin SM, Janecka IP. Cytogenetics of cranial base tumors. J Neurooncol 1994;20:241–254.
Theunissen PH, Debets-Te Baerts M, Blaauw G. Histogenesis of intracranial haemangiopericytoma and haemangioblastoma. An immunohistochemical study. Acta Neuropathol 1990;80:68–71.
Schurch W, Skalli O, Lagace R, Seemayer TA, Gabbiani G. Intermediate filament proteins and actin isoforms as markers for soft-tissue tumor differentiation and origin. III. Hemangiopericytomas and glomus tumors. Am J Pathol 1990;136:771–786.
Dardick I, Hammar SP, Scheithauer BW. Ultrastructural spectrum of hemangiopericytoma: a comparative study of fetal, adult, and neoplastic pericytes. Ultrastruct Pathol 1989;15:111–154.
Moss TH. Immunohistochemical characteristics of haemangio-pericytic meningiomas: comparison with typical meningiomas, haemangioblastomas and haemangiopericytomas from extracranial sites. Neuropathol Appl Neurobiol 1987;13:467–480.
Miettinen M. Antibody specific to muscle actins in the diagnosis and classification of soft tissue tumors. Am J Pathol 1988; 130: 205–215.
Nakamura M, Inoue HK, Ono N, Kunimine H, Tamada J. Analysis of hemangiopericytic meningiomas by immunohistochemistry, electron microscopy and cell culture. J Neuropathol Exp Neurol 1987;46:57–71.
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Dietemann JL, Cromero C, Tajahmady T, Baumgartner J, Gangi A, Kastler B, et al. CT and MRI of suprasellar lesions. J Neuroradiol 1992;19:1–22.
Rice CD, Kersten RC, Mrak RE. An orbital hemangiopericytoma recurrent after 33 years. Arch Opthalmol 1989;107:552–556.
4.4. Myxoma
Stout AP. Myxoma: The tumor of primitive mesenchyme. Ann Surg 1948;127:706–719.
Branch CL, Laster DW, Kelly DL. Left atrial myxoma with cerebral emboli. Neurosurgery 1985;16:675–680.
Budzilovich G, Aleksic S, Greco A, Fernandez J, Harris J, Finegold M. Malignant cardiac myxoma with cerebral metastases. Surg Neurol 1979;11:461–469.
Samaratunga H, Searle J, Cominos D, Le Fevre I. Cerebral metastasis of an atrial myxoma mimicking an epithelioid hemangioendothelioma. Am J Surg Path 1994;18:107–111.
Nagatoni M, Mori M, Takomoto N, Arita N, Ushio Y, Hayakawa T, et al. Primary myxoma in the pituitary fossa: Case report. Neurosurgery 1987;20:329–331.
Ghosh BC, Huvos AG, Gerold FP, Miller TR. Myxoma of the jaw bones. Cancer 1973;31:237–240.
4.5. Fibroma
Frank E, Derauz J-P, de Tribolet N. Chondromyxoid fibroma of the petrous-sphenoid junction. Surg Neurol 1987;27:182–186.
Sterling KM, Stollman A, Sacher M, Som PM. Ossifying fibroma of sphenoid bone with coexistent mucocele: CT and MRI. J Comput Assisted Tomogr 1993;17:492–494.
Wenig BM, Vinh TN, Smirniotopoulos JG, Fowler CB, Houston GD, Heffner DK. Aggressive psammomatoid ossifying fibromas of the sinonasal region: a clinicopathologic study of a distinct group of fibro-osseous lesions. Cancer 1995;76: 1155–1165.
Gartman JJ, Powers SK, Fortune M. Pseudotumor of the sellar and parasellar areas. Neurosurgery 1989;24:896–901.
4.6 Fibrosarcoma
McKeever PE, Blaivas M, Sima AAF. Neoplasms of the sellar region. In: Lloyd RV, ed. Surgical Pathology of the Pituitary Gland, vol. 27, Livolsi VA, ed. Major Problems in Pathology. WB Saunders, Philadelphia, 1993, pp. 141–210.
Huang CI, Chiou WH, Ho DM. Oligodendroglioma occurring after radiation therapy for pituitary adenoma. J Neurol Neurosurg Psychiatry 1987;50:1619–1624.
Kitanaka C, Shitara N, Nakagomi T, Nakamura H, Genka S, Nakagawa K, et al. Postradiation astrocytoma: Report of two cases. J Neurosurg 1989;70:469–474.
Shi T, Farrell MA, Kaufman JCE. Fibrosarcoma complicating irradiated pituitary adenoma. Surg Neurol 1984;22:277–283.
Powell HC, Marshall LF, Ignelzi RJ. Post-irradiation pituitary sarcoma. Acta Neuropath (Berl) 1977;39:165–167.
Martin WH, Cail WS, Morris JL, Constable WC. Fibrosarcoma after high energy radiation therapy for pituitary adenoma. AJR 1980;135:1087–1090.
Martin WH, Cail WS, Morris JL, Constable WC. Fibrosarcoma after high energy radiation therapy for pituitary adenoma. Am J Neuroradiol 1980;1:469–472.
Sato K, Hayashi M, Komai T, Kubota T, Kawano H, Handa Y. Clinical and histological study of pituitary fibrosarcoma following radiotherapy for pituitary adenoma. Case report. Neurol Med Chir (Toyko) 1990;30:888–892.
Nagatani M, Ikeda T, Otsuki H, Mizuta T, Mori S, Ushio Y, et al. Sellar fibrosarcoma following radiotherapy for prolactinoma. No Shinkei Geka 1984;12(3 Suppl):339–346.
Coppeto JR, Roberts M. Fibrosarcoma after proton-beam pituitary ablation. Arch Neurol 1979;36:380,381.
Terry RD, Hyams VJ, Davidoff LM. Combined non-metastasizing fibrosarcoma and chromophobe tumor of the pituitary. Cancer 1959;12:791–798.
Walzp TA, Brownell B. Sarcoma: A possible late result of effective radiation therapy for pituitary adenoma. Report on two cases. J Neurosurgery 1966;24:901–907.
Amendola BE, Amendola MA, McClatchey KD, Miller CH. Radiation associated sarcoma; a review of 23 patients with post-radiation sarcoma over a 50-year period. Am J Clin Oncol 1989; 12:411–415.
Amine ARC, Sugar O. Suprasellar osteogenic sarcoma following radiation for pituitary adenoma. J Neurosurg 1976;44:88–91.
Schrantz JL, Araoz CA. Radiation induced meningeal fibrosarcoma. Arch Pathol 1972;93:26–31.
Pieterse S, Dinning TAR, Blumbergs PC. Post-irradiation sarcomatous transformation of a pituitary adenoma: a combined pituitary tumor. J Neurosurg 1982;56:283–286.
Willis RA. Pathological study of tumors of the pituitary region. Med J Aust 1938;1:281–291.
Mena H, Garcia JH. Primary brain sarcomas: light and electron microscopic features. Cancer 1978;42:1298–307.
Anderson WR, Cameron JD, Tsai SH. Primary intracranial leiomyosarcoma. Case report with ultrastructural study. J Neurosurg 1980;53:401–405.
Dardick I, Hammar SP, Scheithauer BW. Ultrastructural spectrum of hemangiopericytoma: a comparative study of fetal, adult, and neoplastic pericytes. Ultrastruct Pathol 1989; 15:111–54.
4.7. Osteogenic Sarcoma
Dahlin DL, Uuni KK. Bone Tumors, 4th ed, Charles C. Thomas, Springfield IL, 1986, p. V271.
Kleinsasser O, Albrecht H. Zur Kenntnis der Osteosarcome des Stirn-und Keilbeines Arch Ohren Heilk 1957;170:595–603.
Reichenthal E, Cohen ML, Manor R, Marshak G, Matz S, Shalit MN. Primary osteogenic sarcoma of the sellar region. Case report J Neurosurg 1981;55:299–302.
Lee YY, Van Tassel P, Raymond AK, Edeiken J. Craniofacial osteosarcomas: Plain film, CT and MR findings in 46 cases. AJR 1988;150:1397–1402.
Tanaka S, Nishio S, Morioka T, Fukui M, Kitamura K, Hikita K. Radiation-induced osteosarcoma of the sphenoid bone. Neurosurgery 1989;25:640–643.
Amine ARC, Sugar O. Suprasellar osteogenic sarcoma following radiation for pituitary adenoma. Case report. J Neurosurg 1976;44: 88–91.
Mackenzie IRA, Girvin JP, Lee D. Symptomatic osteolipoma of the tuber cinereum. Clin Neuropathol 1996;15:60–62.
Shinoda J, Kimura T, Funakoshi T, Iwata H, Tange K, Kasai C, Miyata Y. Primary osteosarcoma of the skull—a case report and review of the literature. J Neuro-Oncol 1993;17:81–88.
Salvati M, Ciappetta P, Capoccia G, Capone R, Raco A. Osteosarcoma of the skull. Report of a post-Paget and post-radiation case in an elderly woman. Neurosurg Rev 1994;17:73–76.
5.1. Cavernous Angioma (CA)
Voigt K, Yasargil MG. Cerebral cavernous hemangiomas or caver-nomas. Neurochirurgia 1976;19:59–68.
Kattapong VJ, Hart BL, Davis LE. Familial cerebral cavernous angiomas: clinical and radiologic studies. Neurology 1995;45: 492–497.
Challa VR, Moody DM, Brown WR. Vascular malformations of the central nervous system. J Neuropathol Exp Neurol 1995;54: 609–621.
Acciarri N, Padovani R, Giulioni M, Gaist G, Acciarri R. Intracranial and orbital cavernous angiomas: a review of 74 surgical cases. Brit J Neurosurg 1993;7:529–539.
Kawai K, Fukui M, Tanaka A, Kuramoto S, Kitamura K. Extracerebral cavernous hemangioma of the middle fossa. Surg Neurol 1978;9:19–25.
Shimabukuro H, Shinoda S, Yamada N, Iwasa H, Masuzawa T, Sato F. Parasellar cavernous hemangioma presenting with hyperpro-lactinemia. Case report Neurol Med Chir (Tokyo) 1984;24:212–216.
Sansone ME, Liwnicz BH, Mandybur TI. Giant pituitary cavernous hemangioma. Case Report J Neurosurg 1980;53:124–126.
Shen WC, Lee SK. CT and MRI of parasellar cavernous hemangioma in two cases. J Formos Med Assoc 1992;91:S165-S169.
Lombardi D, Giovanelli M, de Tribolet N. Sellar and parasellar extra-axial cavernous hemangiomas. Acta Neurochirurgica 1994; 130:47–54.
Moore T, Ganti SR, Mawad ME, Hilal SK. CT and angiography of primary extradural juxtasellar tumors. AJNR 1985;145:491–496.
Gray MH, Rosenberg AE, Dickersin GR, Bhan AK. Cytokeratin expression in epithelioid vascular neoplasms. Hum Pathol 1990;21: 212–217.
5.2. Hemangioblastoma
Rho YM. Von Hippel-Lindau’ s disease: A report of five cases. Can Med Assoc J 1969;101:135–142.
Dan NG, Smith DE. Pituitary hemangioblastoma in a patient with von Hippel-Lindau disease. Case report. J Neurosurg 1975;42:232–235.
Grisoli F, Gambarelli D, Raybaud C, Guibout M, Leclercq T. Suprasellar hemangioblastoma. Surg Neurol 1984;22:257–262.
Kupersmith MJ, Berenstein A. Visual disturbances in von Hippel-Lindau disease. Ann Ophthalmol 1981;Feb:195–197.
Kepes JJ, Rengachary SS, Lee SH. Astrocytes in hemangioblasto-mas of the central nervous system and their relationship to stromal cells. Acta Neuropathol (Berlin) 1979;47:99–104.
Tanimura A, Nakamura V, Hachisuka H, Tanimura Y, Fukumura A. Hemangioblastoma of the central nervous system: Nature of the stromal cells as studied by the immunoperoxidase technique. Hum Pathol 1984;15:866–869.
Kochi N, Tani E, Kaba K, Natsume S. Immunohistochemical study of fibronectin in hemangioblastomas and hemangiopericytomas. Acta Neuropathol (Berlin) 1984;64:229–233.
Kamitani H, Masauzawa H, Sato J, Kanazawa I. Capillary hemangioblastoma: Histogenesis of stromal cells. Acta Neuropathol (Berlin) 1987;73:370–378.
Feldenzer JA, McKeever PE. Selective localization of y-enolase in stromal cells of cerebral hemangioblastomas. Acta Neuropathol (Berlin) 1987;72:281–285.
Ironside JW, Stephenson TJ, Royds J A, Mills PM, Taylor CB, Rider CC, et al. Stromal cells in cerebellar hemangioblastomas: An immunohistochemical study. Histopathology 1988;12:29–40.
Grant JW, Gallagher PJ, Hedinger C. Hemangioblastoma. An immunohistochemical study of ten cases. Acta Neuropathol (Berlin) 1988;76:82–86.
Frank TS, Trojanowski JQ, Roberts SA, Brooks JJ. A detailed immunohistochemical analysis of cerebellar hemangioblastoma: An undifferentiated mesenchymal tumor. Mod Pathol 1989;2:638–651.
Kawamura J, Garcia JH, Kamiyjo Y. Cerebellar hemangiomas: Histogenesis of stromal cells. Cancer 1987;31:1528–1540.
Ho K-L. Ultrastructure of cerebellar capillary hemangioblastoma. I. Weibel-Palade bodies and stromal cell histiogenesis. J Neuropathol Exp Neurol 1984;43:592–608.
Bohling T, Haltia M, Rosenlof K, Fyhrquist F. Erythropoietin in capillary hemangioblastoma. An immunochemical study. Acta Neuropathol (Berlin) 1987;74:324–328.
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Bohling T, Hatva E, Kujala M, Claesson-Welsh L, Alitalo K, Haltia M. Expression of growth factors and growth factor receptors in capillary hemangioma. J Neuropathol Exp Neurol 1996;5:522–527.
Oberstrass J, Reifenberger G, Reifenberger J, Wechsler W, Collins P. Mutation of the von Hippel-Lindau tumour suppressor gene in capillary haemangioblastomas of the central nervous system. J Pathol 1996;179:151–156.
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Chaudhry AP, Moutes M, Cohn GA. Ultrastructure of cerebellar hemangioblastoma. Cancer 1978;42:1834–1838.
Clelland CA, Treips CS. Histological differentiation of metastatic renal carcinoma in the cerebellum from cerebellar hemangioblastoma in von Hippel-Lindau’s disease. J Neurol Neurosurg Psychiatry 1989;52:162–166.
Mills SE, Ross GW, Perentes E, Nakagawa Y, Scheithauer BW. Cerebellar hemangioblastoma: Immunohistochemical distinction from metastatic renal cell carcinoma. Surg Pathol 1990;3:121–132.
Crocker J, Carey MP, Allcock R. Hemangioblastoma and renal clear cell carcinoma distinguished by means of the AgNOR method. Am J Clin Pathol 1990;93:555–557.
5.3. Glomus Tumor (GT) Glomangioma
Enzinger FM, Weiss SW. Soft Tissue Tumors, 3rd ed. St. Louis, Mosby, 1995. pp. 704–713.
Kim YI, Kim JH, Suh JS, Ham EK, Suh KP. Glomus tumor of the trachea. Report of a case with ultrastructural observation. Cancer 1989;64:881–886.
Asa SL, Kovacs K, Horvath E, Ezrin C, Weiss MH. Sellar glioman-gioma. Ultrastruct Pathol 1984;7:49–54.
Pulitzer DR, Martin PC, Reed RJ. Epithelioid glomus tumor. Hum Pathol 1995;26:1022–1027.
Mey van der AGL, Maaswinkel-Mooy PD, Cornelisse CJ, Schmidt PH, Kamp van de JJP. Genomic imprinting in hereditary glomus tumors: Evidence for new genetic theory. Lancet 1989;8675: 1292–1294.
Brathwaite CD, Poppiti R Jr. Malignant glomus tumor: A case report of widespread metastases in a patient with multiple glomus body hamartomas. Am J Surg Pathol 1996;20:233–238.
Harvey JS, Walker F. Solid glomus tumor of the pterygoid fossa: A lesion mimicking an epithelial neoplasm of low-grade malignancy. Hum Pathol 1987;18:965–966.
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Nuovo MA, Grimes MM, Knowles DM. Glomus tumors: A clinico-pathologic and immunohistochemical analysis of forty cases. Surg Pathol 1990;3:31–45.
Porter PL, Bigler SA, McNutt M, Gown AM. The immuno-phenotype of hemangiopericytomas and glomus tumors, with special reference to muscle protein expression: An immunohistochemical study and review of the literature. Mod Pathol 1991; 4:46–42.
6.1. Histiocytosis
Russel DS, Rubinstein LJ. Pathology of Tumours of the Nervous System. Williams and Wilkins, London, 1989.
Scholz M, Firsching R, Feiden W, Breining H, Brechtelsbauer D, Harders A. Gagel’s granuloma (localized Langerhans cell histiocytosis) in the pituitary stalk. Clin Neurol Neurosurg 1995;97:164–166.
Hou-Jensen K, Rawlinson DG, Hendrickson M. Proliferating histiocytic lesion (Histiocytosis-X?). Cancer 1973;32:809–821.
Richmond I, Wilson CB. Parasellar tumors in children. I. Clinical presentation, preoperative assessment, and differential diagnosis. Child’s Brain 1980;7:73–84.
MacCumber MW, Hoffman PN, Wand GS, Epstein JI, Beschorner WE, Green R. Opthalmic involvement in aggressive histiocytosis X. Opthalmology 1990;97:22–27.
Rimoin DL. Hereditary forms of growth hormone deficiency and resistance. Birth Defects 1976;12:15–29.
Hirata Y, Sakamoto N, Yoshimoto Y, Kato Y, Matsukura S. Diabetes insipidus and galactorrhea caused by histiocytosis X. Endocrinol Jpn 1975;22:311–318.
Schneider J, Guthert H. Histiozytosis X of the hypothalamus. Zentralb Allg Pathol 1975;119:49–55.
Gates RB, Friesen H, Samaan NA. Inappropriate lactation and amenorrhea: Pathological and diagnostic considerations. Acta Endocrinol 1973;72:101–114.
Lampert IA, Catovsky D, Bergier N. Malignant histiocytosis: A clini-copathological study of 12 cases. Br J Haematol 1978;40:65–77.
Ma JT, Ho FC, Wang C, Lam KS, Yeung RT. Primary hypothyroidism and essential hypernatremia in a patient with histiocytosis X. Aust N Z J Med 1985;15:72–74.
Asai A, Matsutani M, Kohno T, Fujimaki T, Tanaka H, Kawaguchi K, et al. Leptomeningeal and orbital benign lymphophagocytic histiocytes. J Neurosurg 1988;69:610–612.
Tabarin A, Corcuff JB, Dautheribes M, Merlio JP, Cochet C, Maire JP, et al. Histiocytosis X of the hypothalamus. J Endocrinol Invest 1991;14:139–145.
Gaines P, Chan JC, Cockram CS. Histiocytosis X involving the thyroid and hypothalamus. Postgrad Med J 1991;67:680–682.
Catalina PF, Rodriguez Garcia M, de la Torre C, Paramo C, Garcia-Mayor RV. Diabetes insipidus for five years preceding the diagnosis of hypothalamic Langerhans cell histiocytosis. J Endocrinol Invest 1995;18:663–666.
Peyster RG, Hoover ED. CT of the abnormal pituitary stalk. AJNR Am J Neuroradiol 1984;5:49–52.
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Maghnie M, Arico M, Villa A, Genovese E, Beluffi G, Severi F. MR of the hypothalamic-pituitary axis in Langerhans cell histiocytosis. AJNR Am J Neuroradiol 1992;13:1365–1371.
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O’Sullivan RM, Sheehan M, Poskitt KJ, Graeb DA, Chu AC, Joplin GF. Langerhans cell histiocytosis of hypothalamus and optic chiasm: CT and MR studies. J Comput Assisted Tomogr 1991;15: 52–55.
Lopez P, Estes ML. Immunohistochemical characterization of the histiocytes in sinus histiocytosis with massive lymphadenopathy: Analysis of an extranodal case. Hum Pathol 1989;20:711–715.
Broadbent V, Dunger DB, Yeomans E, Kendall B. Anterior pituitary function and computed tomography/magnetic resonance imaging in patients with Langerhans cell histiocytosis and diabetes insipidus. Med Pediatr Oncol 1993;21:649–654.
Mir R, Aftalion B, Kahn LB. Sinus histiocytosis with massive lymphadenopathy and unusual extranodal manifestations. Arch Pathol Lab Med 1985;109:867–870.
Moscinski LC, Kleinschmidt-DeMasters BK. Primary eosinophilic granuloma of frontal lobe. Cancer 1985;9:284–288.
Eriksen B, Janinis J, Variakojis D, Winter J, Russel E, Marder R, et al. Primary histiocytosis X of the parieto-occipital lobe. Hum Pathol 1988;19:611–614.
Knobler RM, Neumann RA, Gebhart W, Radaskiewicz TH, Ferenic P, Widhalm K. Xanthoma disseminatum with progressive involvement of the central nervous and hepatobiliary systems. J Am Acad Dermatol 1990;23:341–346.
McKeever PE, Blaivas M. The brain, spinal cord, and meninges. In: Sternberg SS, Antonioli DA, Carter D, Mills SE, Oberman HA, eds. Diagnostic Surgical Pathology, Raven, New York, 1994, pp. 409–492.
Kahn HJ, Thorner PS. Monoclonal antibody MT1: A marker for Langerhans cell histiocytosis. Pediatr Pathol 1990;10:375–384.
Ya-You JI, Yan-Fang L, Bo-Yun W, De-Yun Y. An immunocy-tochemical study on the distribution of ferritin and other markers in 36 cases of malignant histiocytosis. Cancer 1989;64:1281–1289.
Salisbury JR, Hall PA, Williams HC, Mangi MH, Mufti GJ. Multicentric reticulohistiocytosis. Detailed immunophenotyping confirms macrophage origin. Am J Surg Pathol 1990;14:687–693.
Eisen RN, Buckley PJ, Rosai J. Immunophenotypic characterization of sinus histiocytosis with massive lymphadenopathy. Semin Diagn Pathol 1990;7:74–82.
Andreesen R, Brugger W, Sohr GW, Kross KJ. Human macrophages can express the Hodgkin’s cell-associated antigen Ki-1 (CD30). Am J Pathol 1989;134:187–192.
Rabkin MS, Kjeldsberg CR, Wittwer CT, Marty J. A comparison study of two methods of peanut agglutinin staining with S-100 immunostaining in 29 cases of histiocytosis X (Langerhans’ cell histiocytosis). Arch Pathol Lab Med 1990;114:511–515.
Ornvold K, Ralfkiaer E, Carstensen H. Immunohistochemical study of the abnormal cells in Langerhans cell histiocytosis (histiocytosis X). Virchows Arch 1990;416:403–410.
McKeever PE, Balentine JD. Histochemistry of the nervous system, In: Spicer SS, ed. Histochemistry in Pathologic Diagnosis, vol. 22, Schwartz MK, ed. Clinical and Biochemical Analysis, Marcel-Dekker, New York, 1987, pp. 871–957.
Carey MP, Case CP. Sinus histiocytosis with massive lymphaden-opathy presenting as a meningioma. Neuropathol Appl Neurobiol 1987;13:391–398.
Sacchi S, Artusi T, Selleri L, Temperani P, Zucchini P, Vecchi A, et al. Sinus histiocytosis with massive lymphadenopathy: immunological, cytogenetic and molecular studies. Blut 1990;60:339–344.
Nemes Z, Thomazy V. Diagnostic significance of histiocyte-related markers in malignant histiocytosis and true histiocytic lymphoma. Cancer 1988;62:1970–1980.
DiMaggio LA, Lippes HA, Lee RV. Histiocytosis X and pregnancy. Obstet Gynecol 1995;85:806–809.
Faivre J, Pecker J, Ferrand B. Posterior fossa syndrome terminating the course of histiocytosis X. Study of lesions of the central nervous system. Association with polyvinylpyrrolidone thesaurismosis. Semaine des Hopetaux 1975;51:2229–2237.
Calzada LD, Chaussain JL, Job JC. Growth retardation in histiocytosis X. Evaluation of anterior pituitary function. Semaine des Hopitaux 1978;54:1251–1256.
6.2. Lymphoma
Jonkhoff AR, Huijgens PC, Schreuder WO, Teule GJ, Heimans JJ. Hypophyseal non-Hodgkin’s lymphoma presenting with clinical panhypopituitarism successfully treated with chemotherapy. J Neurooncol 1993; 17:155,156.
Roggli VL, Suzuki M, Armstrong D, McGavran MH. Pituitary microadenoma and primary lymphoma of brain associated with hypothalamic invasion. Am J Clin Pathol 1979;71:724–727.
Patrick AW, Campbell IW, Ashworth B, Gordon A. Primary cerebral lymphoma presenting with cranial diabetes insipidus. Postgrad Med J 1989;65:771,772.
Peters FT, Keuning JJ, deRooy HA. Primary cerebral malignant lymphoma with endocrine defect. Case report and review of the literature. Neth J Med 1986;29:406–410.
Hirata K, Izaki A, Tsutsumi K, Kaminogo M, Baba H, Shibata S, et al. A case of primary hypothalamic malignant lymphoma with diabetes insipidus. No Shinkei Geka 1989;17:461–466.
Ashworth B. Cerebral histiocytic lymphoma presenting with loss of weight. Neurology 1982;32:894–896.
Anonymous. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 31–1982. A 50-year-old woman with an acute neurologic disorder and changing CT-scan findings. N Engl J Med 1982;307:359–368.
Hadfield MG, Vennart GP, Rosenblum WI. Hypoglycemia: Invasion of the hypothalamus by lymphosarcoma. Metastasis to blood glucose regulating centers. Arch Pathol 1972;94:317–321.
Shuangshoti S, Samranvej P. Hypothalamic and pancreatic lesions with diabetes mellitus. J Neurol Neurosurg Psychiatry 1975;38: 1003–1007.
Kunze P, Hoppe W, Riedel C, Doge H. Primary malignant lymphoma of the central nervous system. Primares malignes Lymphom des Zentralnervensystems. Psychiatr Neurol Med Psychol (Leipz) 1980;32:373–381.
Mills SE, Fechner RE. “Undifferentiated” neoplasms of the sinonasal region: Differential diagnosis based on clinical, light microscopic, immunohistochemical, and ultrastructural features. Semin Diagn Pathol 1989;6:316–328.
McKeever PE, Blaivas M, Nelson JS. The diagnosis of brain and spinal tumors by conventional light microscopic methods. In: Garcia JH, Budka H, McKeever PE, Sarnat HB, Sima AAF, eds. Neuropathology: The Diagnostic Approach. Mosby-Yearbook, Philadelphia, 1997.
McKeever PE. Insights about brain tumors gained through immu-nohistochemistry and in situ hybridization of nuclear and pheno-typic markers. J Histochem Cytochem 1998; 46:585–594.
Sano T, Kovacs K, Scheithauer BW, Rosenblum MK, Petito CK, Greco CM. Pituitary pathology in acquired immunodeficiency syndrome. Arch Pathol Lab Med 1989;113:1066–1070.
Karnaze MG, Sartor K, Winthrop JD, Gado MH, Hodges FJ. Suprasellar lesions: Evaluation with MR imaging? Radiology 1986; 161: 77–82.
Marx AS, Blake P, Ross M, Atlas S, Brown D. Gadolinium enhancement of the cisternal portion of the oculomotor nerve: Clinical and pathological significance. Neuroradiology 1991;33:S 151.
Feiden W, Bise K, Steude U. Diagnosis of primary cerebral lymphoma with particular reference to CT-guided stereotactic biopsy. Virchows Arch 1990;417:21–28.
Hitchcock E, Morris CS. Immunocytochemical techniques in stereotactic biopsy. Stereotact Funct Neurosurg 1989;53:21–28.
Nakamine H, Yokote H, Itakura T, Hayashi S, Komai N, Takano Y, et al. Non-Hodgkin’s lymphoma involving the brain. Diagnostic usefulness of stereotactic needle biopsy in combination with paraffin-section immunohistochemistry. Acta Neuropathol (Berlin) 1989;78:462–461.
Namiki TS, Nichols P, Young T, Martin SE, Chandrasoma P. Stereotaxic biopsy diagnosis of central nervous system lymphoma. Am J Clin Pathol 1988;90:40–45.
Murphy JK, O’Brien CJ, Ironside JW. Morphologic and immuno-phenotypic characterization of primary brain lymphomas using paraffin-embedded tissue. Histopathology 1989;15:449–460.
Nakhleh RE, Manivel JC, Hurd D, Sung JH. Central nervous system lymphomas: Immunohistochemical and clinicopathologic study of 26 autopsy cases. Arch Pathol Lab Med 1989;113:1050–1056.
Davey FR, Elghetany MT, Kurec AS. Immunophenotyping of hematologic neoplasms in paraffin-embedded tissue sections. Am J Clin Pathol 1990;(Suppl) S17–S26.
Slowik F, Jellinger K. Membranous changes in primary malignant CNS lymphomas. Acta Neuropathol 1989;79:86–93.
Johnson PC. Ultrastructural study of two central nervous system lymphomas. Acta Neuropathol Suppl (Berlin) 1975;6:155–160.
Shibata S. Sites of origin of primary intracerebral malignant lymphoma. Neurosurg 1989;25:14–19.
Taxy JB, Bharani NK, Mills SE, et al. The spectrum of olfactory neural tumors. A light-microscopic immunohistochemical and ultrastructural analysis. Am J Surg Pathol 1986;10:687–695.
Ross GW, Mills SE, Frankfurter A, et al. Immunohistochemical characterization of human olfactory neuroblastomas with multiple markers. J Neuropathol Exp Neurol 1988;47:3479 (abstract).
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6.3. Plasmacytoma and Multiple Myeloma
Bitterman P, Ariza A, Black RA, Allen WE, Lee SH. Multiple myeloma mimicking pituitary adenoma. Computerized Radiol 1986;10:201–205.
Ariel-Sanchez J, Rahman S, Strauss RA, Kaye GI. Multiple myeloma masquerading as a pituitary tumor. Arch Pathol 1976; 101:55–56.
Goriachkina GP. Solitary plasmacytoma of the hypothalamus. Arkh Patol 1979;41:53–57.
Poon M-C, Prchal JT, Murad TM, Galbraith JG. Multiple myeloma masquerading as chromophobe adenoma. Cancer 1979;43:1513–1516.
Harrison LB, Schnall S, Cardinale FS, Farber LR. Multiple myeloma presenting as a pituitary tumor. Int J Radiat Oncol Biol Phys 1987;13:653–654.
Evans PJ, Jones MK, Hall R, Scanlon MR. Pituitary function with a solitary intrasellar plasmacytoma. Postgrad Med J 1985;61: 513,514.
Losa M, Terreni MR, Tresoldi M, Marcatti M, Campi A, Triulzi F, et al. Solitary plasmacytoma of the sphenoid sinus involving the pituitary fossa: A case report and review of the literature. Surg Neurol 1992;37:388–393.
Kanoh T, Okuda T, Hayashi M, Yumoto Y. Multiple myeloma presenting as parasellar syndrome and cranial nerve palsies. Rinsho Ketsueki 1996;37:260–264.
Mills SE, Fechner RE. Undifferentiated neoplasms of the sinonasal region: Differential diagnosis based on clinical, light microscopic, immunohistochemical, and ultrastructural features. Semin Diagn Pathol 1989;6:316–328.
Fu Y-S, Perzin KH. Nonepithelial tumors of the nasal cavity, paranasal sinuses and nasopharynx. A clinicopathologic study. IX. Plasmacytomas. Cancer 1978;42:2399–2406.
Takahashi S, Higano S, Ishii K, Matsumoto K, Shimanuki Y, Ishibashi T, et al. CT and MR imaging findings of sphenoidal masses. Nippon Igaku Hoshasen Gakkai Zasshi 1994;54:751–760.
Sautner D, Saeger W, Ludecke DK. Tumors of the sellar region mimicking pituitary adenomas. Exp Clin Endocrinol 1993;101:283–289.
Urbanski SF, Bilbao JM, Horvath E, Kovacs K, So W, Ward JV. Intrasellar solitary plasmacytoma terminating in multiple myeloma: A report of a case including electron microscopical study. Surg Neurol 1980;14:223–236.
Estopinan V, Riobo P, Fernandez G, Varela C. Intrasellar plasmacytoma simulating a pituitary adenoma. Letter. Med Clin (Bare) 1987;89:128.
Murphy JK, O’Brien CJ, Ironside JW. Morphologic and immuno-phenotypic characterization of primary brain lymphomas using paraffin-embedded tissue. Histopathology 1989;15:449–460.
Roggli VL, Suzuki M, Armstrong D, McGavran, MH. Pituitary microadenoma and primary lymphoma of brain associated with hypothalamic invasion. Am J Clin Pathol 1979;71:724–727.
Kurtin PJ, Pinkus GS. Leukocyte common antigen—a diagnostic discriminant between hematopoietic and nonhematopoietic neoplasms in paraffin sections using monoclonal antibodies: Correlation with immunologic studies and ultrastructural localization. Hum Pathol 1985;16:353–365.
Pinkus GS, Kurtin PJ. Epithelial membrane antigen—a diagnostic discriminant in surgical pathology: Immunohistochemical profile in epithelial, mesenchymal, and hematopoietic neoplasms using paraffin sections and monoclonal antibodies. Hum Pathol 1985; 16:929–940.
Davey FR, Elghetany MT, Kurec AS. Immunophenotyping of hematologic neoplasms in paraffin-embedded tissue sections. Am J Clin Pathol 1990;(Suppl) S17–S26.
Van Camp B, Durie BGM, Spier C, De Waele M, Van Riet I, Vela E, et al. Plasma cells in multiple myeloma express a natural killer cell-associated antigen: CD56 (NKH-1; Leu-19). Blood 1990;76:377–382.
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Kurabayashi H, Kubota K, Murakami H, Tamura J, Sawamura M, Nogiwa E, et al. Ultrastructure of myeloma cells in patients with common acute lymphoblastic leukemia antigen (CALLA)-positive myeloma. Cancer Res 1988;48:6234–6237.
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Guy J, Mancuso A, Beck R, Moster ML, Sedwick LA, Quisling RG, et al. Radiation-induced optic neuropathy: A magnetic resonance imaging study. J Neurosurg 1991;74:426–432.
7.1. Germinoma and Other Germ-Cell Tumors
Jennings MT, Gelman R, Hochberg F. Intracranial germ-cell tumors: Natural history and pathogenesis. J Neurosurg 1985;63:155–167.
Inoue HK, Haganuma H, Ono N. Pathobiology of intracranial germ-cell tumors: Immunochemical, immunohistochemical, and electron microscopic investigations. J Neuro Oncol 1987;5:105–115.
Fetell MR, Stein BM. Neuroendocrine aspects of pineal tumors. Neurol Clin 1986;4:877–905.
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Buchfelder M, Fahlbusch R, Walther M, Mann K. Endocrine disturbances in suprasellar germinomas. Acta Endocrinol (Copenh) 1989;120:337–342.
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Shuangshoti S. Combined occurrence of third ventricular germinoma and hypothalamic mixed glioma. J Surg Oncol 1986;31:148–152.
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Karnaze MG, Sartor K, Winthrop JD, Gado MH, Hodges FJ. Suprasellar lesions: Evaluation with MR imaging? Radiology 1986; 161: 77–82.
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Richmond I, Wilson CB. Parasellar tumors in children. I. Clinical presentation, preoperative assessment, and differential diagnosis. Child’s Brain 1980;7:73–84.
Karnaze MG, Sartor K, Winthrop JD, Gado MH, Hodges FJ. Suprasellar lesions: Evaluation with MR imaging. Radiology 1986;161:77–82.
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Baskin DS, Wilson CB. Transsphenoidal surgery of intrasellar germinomas. Report of two cases. J Neurosurg 1983;59:1063–1066.
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Ono N, Inoue HK, Naganuma H, Kunimine H, Zama A, Tamura M. Diagnosis of germinal neoplasm in the thalamus and basal ganglia. Surg Neurol 1986;26:24–28.
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Saint-Andre JP, Alhenc-Gelas F, Rohmer V, Chretien MF, Bigorgne JC, Corvol P. Angiotensin-I-converting enzyme in germinomas. Hum Pathol 1988;19:208–213.
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Yamagami T, Handa H, Yamashita J, Okumura T, Paine J, Haebara H, et al. An immunohistochemical study of intracranial germ cell tumours. Acta Neurochir 1987;86:33–41.
Harms D, Janig U. Germ cell tumours of childhood. Report of 170 cases including 59 pure and partial yolk-sac tumours. Virchows Arch 1986;409:223–239.
Ulbright TM, Roth LM, Brodhecker CA. Yolk sac differentiation in germ cell tumors. Am J Surg Pathol 1986;10:151–164.
Nakagawa Y, Perentes E, Ross GW, Ross AN, Rubinstein LJ. Immunohistochemical differences between intracranial germi-nomas and their gonadal equivalents. An immunoperoxidase study of germ cell tumours with epithelial membrane antigen, cytokeratin, and vimentin. J Pathol 1988;156:67–72.
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Sawamura Y, Hamou MF, Kuppner MC, de Tribolet N. Immunohistochemical and in vitro functional analysis of pineal-germinoma infiltrating lymphocytes: Report of a case. Neurosurgery 1989;25: 454–457.
Paine JT, Handa H, Yamasaki T, Yamashita J. Suprasellar germi-noma with shunt metastasis: Report of a case with an immunohistochemical characterization of the lymphocyte subpopulations. Surg Neurol 1986;25:55–61.
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McKeever, P.E., Blaivas, M., Gebarski, S.S. (2001). Sellar Tumors Other Than Adenomas. In: Thapar, K., Kovacs, K., Scheithauer, B.W., Lloyd, R.V. (eds) Diagnosis and Management of Pituitary Tumors. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-217-3_23
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