DOI: 10.36347/sjmcr.2018.v06i09.005

Pages: 627-629

Papillary tumor of the pineal parenchyma (PTPP) is a rare entity of pineal region [1]. We report a first case of a PTPP developed in the sellar and suprasellar region. It is about Ms. CGL, 52 years old, who presented a headache with visual disorders. Clinical examination reveals a bitemporal hemianopia without other signs. Imaging has highlighted a sellar and suprasellar lesion compressing the optic chiasma. The hormonal assessment showed a discreet hypothyroidism. The patient underwent complete excision by endocospic endonasal approach with good visual decompression. The postoperative evolution was favorable. MRI control confirmed total resection of the lesion. Histological exam reveals a papillary tumor of pineal region. This histological type has never been reported in the literature at the sellar region; however, adenomas may in rare cases present papillary architecture [2].