Journal of the Chinese Medical Association
Volume 70, Issue 5 , Pages 215-217, May 2007

Intrasellar Symptomatic Salivary Gland Rest

  • Chih-Hao Chen

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Chih-Hao Chen, Division of Neurosurgery, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung 813, Taiwan, R.O.C.
  • ,
  • Shu-Shong Hsu

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, R.O.C.
  • ,
  • Ping-Hong Lai

      Affiliations

    • Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
  • ,
  • Yu-Shing Lo

      Affiliations

    • Department of Pathology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, R.O.C.

Received 6 November 2006; accepted 5 February 2007.

Ectopic salivary gland tissue in sellar turcica is frequently observed in microscopic examination at autopsy. This tissue is considered clinically silent. Only 2 symptomatic cases have been previously reported. Here we report a 28-year-old woman presenting with galactorrhea and hyperprolactinemia. Magnetic resonance imaging revealed a 6×5-mm nodule in the posterior aspect of the pituitary gland. This nodule showed isointensity on T1- and T2-weighted images and less enhancement on post-contrast T1-weighted images. Transsphenoidal exploration revealed a cystic lesion within the pituitary gland, which consisted of a grayish gelatinous content. The pathologic examination confirmed the diagnosis of salivary gland rest.

Key Words:  ectopic salivary gland , magnetic resonance imaging , pituitary gland

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PII: S1726-4901(09)70361-2

doi:10.1016/S1726-4901(09)70361-2

Journal of the Chinese Medical Association
Volume 70, Issue 5 , Pages 215-217, May 2007