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目的报道1例酷似垂体瘤卒中的非霍奇金淋巴瘤,结合文献复习加深对此病及对于酷似垂体瘤卒中的各种鞍区病变的认识。方法66岁男性患者,术前临床表现及神经影像学提示垂体瘤卒中,行内镜经鼻蝶入路肿瘤切除术及双侧眼睑肿物切除术。结果病理报告鞍区及双眼睑肿物为非霍奇金淋巴瘤。结论鞍区淋巴瘤临床及影像学表现酷似垂体卒中而难以鉴别。临床资料指向垂体瘤卒中的病例,要考虑淋巴瘤的可能。
Objective To report a case of non-Hodgkin’s lymphoma that resembles pituitary apoplexy, and review the literature to deepen the understanding of the disease and various saddle-zone lesions resembling pituitary apoplexy. Methods 66-year-old male patients with preoperative clinical manifestations and neuroimaging pituitary apoplexy prompted endoscopic transnasal neoplasm resection and bilateral eyelid tumor resection. Results Pathology Report The saddle area and double eyelid masses were non-Hodgkin’s lymphoma. Conclusions The clinical and imaging findings of the sellar lymphoma resemble the pituitary apoplexy and are difficult to identify. Clinical data point to cases of pituitary apoplexy, to consider the possibility of lymphoma.