Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
Intrasellar symptomatic salivary gland choristoma: a case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Alhammad Othman, Alghanim Abdulaziz Mohmmed, Abbas Mosab, AbuHassan Amani, Al-Hindi Hindi Nasser, Alghamdi Khalid Talal
Аннотация
BACKGROUND: Symptomatic ectopic salivary tissue in the sellar region is extremely rare. A few cases were reported in the literature. Its radiological features overlap with those of other sellar lesions, making a definitive preoperative diagnosis difficult. This case report presents the youngest treated symptomatic patient who was diagnosed with ectopic salivary tissue in the sellar region.
CASE DESCRIPTION: A 6-year-old symptomatic girl presented with chronic headache, polyuria, polydipsia, and short stature. The hormonal assay revealed hypopituitarism with low growth hormone. Magnetic resonance imaging (MRI) of the brain demonstrated a cystic sellar lesion with an enhanced intracystic nodule. The cyst was drained, and the nodule was grossly resected via an endoscopic endonasal transsphenoidal approach. Histopathological examination confirmed a salivary gland choristoma. Postoperatively, she was started on hormone replacement therapy. Follow-up brain imaging showed no evidence of residual lesion.
CONCLUSION: Sellar salivary choristoma is extremely rare in pediatric population. Histopathology examination is crucial for diagnosis. Surgical treatment of a symptomatic case has a favorable prognosis.
CASE DESCRIPTION: A 6-year-old symptomatic girl presented with chronic headache, polyuria, polydipsia, and short stature. The hormonal assay revealed hypopituitarism with low growth hormone. Magnetic resonance imaging (MRI) of the brain demonstrated a cystic sellar lesion with an enhanced intracystic nodule. The cyst was drained, and the nodule was grossly resected via an endoscopic endonasal transsphenoidal approach. Histopathological examination confirmed a salivary gland choristoma. Postoperatively, she was started on hormone replacement therapy. Follow-up brain imaging showed no evidence of residual lesion.
CONCLUSION: Sellar salivary choristoma is extremely rare in pediatric population. Histopathology examination is crucial for diagnosis. Surgical treatment of a symptomatic case has a favorable prognosis.