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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 23:364-367, March 2002
© 2002 American Society of Neuroradiology

Case Report
BRAIN

Primary Sellar Lymphoma: Radiologic and Pathologic Findings in Two Patients

Timothy J. Kaufmann^a, M. Beatriz S. Lopes^b, Edward R. Laws, Jr^c and Maurice H. Lipper^a

^a Department of Radiology, University of Virginia Health System, Charlottesville
^b Department of Pathology (Neuropathology) University of Virginia Health System, Charlottesville
^c Department of Neurosurgery, University of Virginia Health System, Charlottesville

Address reprint requests to Timothy J. Kaufmann, MD, Box 800170, Department of Radiology, University of Virginia Health System, Charlottesville, VA, 22908

Summary: We describe the clinical, MR imaging, and pathologic findings in two cases of primary sellar lymphoma in immunocompetent individuals. Both patients had hypopituitarism, and one patient had a sixth cranial nerve palsy. MR images depicted sellar and suprasellar masses in both patients, and extension into the cavernous and sphenoid sinuses was also present in one patient. The pathologic diagnosis in both cases was large B cell lymphoma.