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.
Pekarski
Krista L
KL
Cleveland Clinic Foundation, Institute of Pathology, Cleveland, OH 44195, USA.
Prayson
Richard A
RA
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