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Differential diagnosis of intrasellar tumors by computed tomography

Journal Article · · Radiology; (United States)
The specificity of the computed tomography (CT) diagnosis of intrasellar adenoma has not been studied. We compared the CT findings in intrasellar meningiomas, craniopharyngiomas, aneurysms, and metastases with those of pituitary adenomas. Calcification was a feature of intrasellar meningiomas, aneurysms, and craniopharyngiomas, but not a typical feature of adenomas. Low-density regions representing necrosis or cyst were found in most types of intrasellar tumors. Eccentricity, hyperostosis, and bone destruction were useful signs of aneurysm, meningioma, and metastasis, respectively. Since adenoma cannot always be distinghished from another intrasellar mass, angiography to demonstrate tumor angioarchitecture may be needed to characterize some neoplasms or to confirm an intrasellar aneurysm.
Research Organization:
Medical Coll. of Wisconsin, Milwaukee
OSTI ID:
5799584
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 141:3; ISSN RADLA
Country of Publication:
United States
Language:
English

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