Combined sellar fibrosarcoma and prolactinoma with neuronal metaplasia: report of a case unassociated with radiotherapy.
We report the occurrence of a primary pituitary fibrosarcoma causally unrelated to radiotherapy, admixed in association with a prolactin cell pituitary adenoma showing neuronal metaplasia. These unique findings were associated with multiple endocrine neoplasia type 1 (MEN 1). Primary fibrosarcoma involving the sella is a very rare tumor. The majority of cases have been associated with prior irradiation of either a pituitary adenoma or a craniopharyngioma. Pituitary adenoma with neuronal metaplasia is also rare and usually occurs in the setting of acromegaly. Despite the intimate association of both elements in our lesion, no transition of adenoma to sarcoma was demonstrable by immunohistochemistry or in situ hybridization studies.
Department of Pathology, Mayo Clinic, Rochester, MN 55905, USA.
Mario
M
Moro
Caterina
C
Giannini
Bernd W
BW
Scheithauer
Ricardo V
RV
Lloyd
Paul
P
Restall
Carl
C
Eagleton
Andrew J
AJ
Law
Kalman
K
Kovacs
D000328:Adult; D017809:Fatal Outcome; D005354:Fibrosarcoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D017403:In Situ Hybridization; D008297:Male; D008679:Metaplasia; D018761:Multiple Endocrine Neoplasia Type 1 / Q000150:complications* / Q000473:pathology; D009417:Nerve Tissue / Q000473:pathology*; D010911:Pituitary Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D015175:Prolactinoma / Q000150:complications* / Q000473:pathology / Q000601:surgery