Suprasellar spindle cell lipoma.
Spindle cell lipoma of the suprasellar region has not been reported in the literature. We report a case of a 4-year-old male with a suprasellar spindle cell lipoma. The patient presented with headaches and visual disturbances. An imaging study revealed a 4 to 5-mm suprasellar mass that was initially thought to be a lipoma or dermoid cyst. Pathologic examination from the partial resection showed a circumscribed lesion consisting of mature adipose tissue with intermixed uniform spindle cells associated with a mucoid matrix, morphologically consistent with a spindle cell lipoma. The spindle cells and vasculature demonstrated focal positivity with CD34 antibody. There was no evidence of lipoblasts, mitoses, necrosis, or osseous tissue.
Cleveland Clinic Foundation, Institute of Pathology, Cleveland, OH 44195, USA.
Krista L
KL
Pekarski
Richard A
RA
Prayson
D018952:Antigens, CD34 / Q000378:metabolism; D001932:Brain Neoplasms / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007150:Immunohistochemistry; D008067:Lipoma / Q000378:metabolism / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures
D018952:Antigens, CD34