CHRONIC LYMPHOCYTIC-LEUKEMIA PRESENTING AS A PITUITARY MASS LESION

被引:23
作者
FAIN, JS
NAEIM, F
BECKER, DP
VANHERLE, A
YANGO, F
PETRUS, L
VINTERS, HV
机构
[1] UNIV CALIF LOS ANGELES,MED CTR,DEPT PATHOL & LAB MED,DIV NEUROPATHOL,CHS 18-170,LOS ANGELES,CA 90024
[2] UNIV CALIF LOS ANGELES,MED CTR,DEPT SURG NEUROSURG,LOS ANGELES,CA 90024
[3] UNIV CALIF LOS ANGELES,MED CTR,DEPT MED,LOS ANGELES,CA 90024
[4] UNIV CALIF LOS ANGELES,MED CTR,DEPT NEUROL,LOS ANGELES,CA 90024
[5] UNIV CALIF LOS ANGELES,MED CTR,DEPT RADIOL SCI,LOS ANGELES,CA 90024
关键词
D O I
10.1017/S0317167100042335
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe a unique case of chronic lymphocytic leukemia (CLL) in a patient who presented with bitemporal hemianopsia, adrenal insufficiency, and gonadotrophin deficiency. Studies revealed an enhancing intrasellar mass with suprasellar extension and displacement of the optic chiasm. Peripheral blood and cerebrospinal fluid (CSF) studies disclosed a monoclonal IgM kappa expressing B-cell CLL. Biopsy of the pituitary mass revealed dense infiltration of the pituitary gland by leukemic cells. This is, to our knowledge, the first reported case of CLL presenting as a pituitary mass lesion.
引用
收藏
页码:239 / 242
页数:4
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