Primary sellar lymphoma of T-cell type radiologic and pathologic findings

摘要

We present the clinical, imaging and pathological findings of a case of primary sellar lymphoma of T-cell type with aggressive bony destruction. While reports of primary sellar lymphoma have been exceedingly rare, most of these are cases of B-cell lymphoma. Only two cases of sellar lymphoma of T-cell have been described in the literature. While evaluating an invasive sellar mass with extensive bone destruction, this diagnosis should be considered particularly in elderly or immunocom-promized patients.A 60-year-old female presented with progressively increasing history of headache which was initially localized and later became generalized. Associated symptoms were vomiting, facial weakness on the left side and ptosis of the right eye. There was no history of fever. Past medical history was significant only for hypertension. The patient was immunocompetent with no history of HIV.