Hemorrhagic chondroid chordoma mimicking pituitary apoplexy.
We describe a hemorrhagic chondroid chordoma involving the sella turcica with suprasellar extension. The CT and MRI appearances mimiked a hemorrhagic pituitary adenoma. Chondroid chordoma is a variant composed of elements of both chordoma and cartilaginous tissue. An uncommon bone neoplasm, located almost exclusively in the spheno-occipital region, it is usually not considered in the differential diagnosis of a tumor with acute hemorrhage in the sellar region. We discuss the clinical and radiological characteristics which may allow one to differentiate chondroid chordoma from other tumors of this area.
Lee
H J
HJ
Department of Radiology, University Hospital, UMDNJ-NJ Medical School, Newark 07103, USA.
Kalnin
A J
AJ
Holodny
A I
AI
Schulder
M
M
Grigorian
A
A
Sharer
L R
LR
D000368:Aged; D002543:Cerebral Hemorrhage / Q000209:etiology; D002817:Chordoma / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010899:Pituitary Apoplexy / Q000175:diagnosis* / Q000473:pathology; D012888:Skull Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed