title: A rare case of paraganglioma of the sella with bone metastases.
abstract: Sellar paragangliomas are very rare lesions with only 11 previous cases described in the literature. We present a further case of sellar paraganglioma. The patient is a 17-year-old man who developed headache, visual blurring, and diplopia. MRI showed a sellar lesion. Trans-nasal trans-sphenoid biopsy showed features of paraganglioma. He was treated by Stereotactic radiotherapy. Four months after treatment he developed bone metastases which was palliated by radiation, zoledronic acid, and chemotherapy. This is the first case of sellar paraganglioma showing metastases to bone.
authors.affiliation: Department of Radiotherapy and Oncology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India. kpharesh@rediffmail.com
authors.forename: K P
authors.initials: KP
authors.lastname: Haresh
authors.forename: R
authors.initials: R
authors.lastname: Prabhakar
authors.forename: K D
authors.initials: KD
authors.lastname: Anand Rajan
authors.forename: D N
authors.initials: DN
authors.lastname: Sharma
authors.forename: P K
authors.initials: PK
authors.lastname: Julka
authors.forename: G K
authors.initials: GK
authors.lastname: Rath
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000556:secondary*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009362:Neoplasm Metastasis; D010235:Paraganglioma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D012658:Sella Turcica / Q000473:pathology*