case_images: PMC10927175_01
case_images: Preoperative computed tomography scan. (a) Axial, (b) sagittal, and (c) coronal sections in which a heterogeneous solid sellar lesion with clival invasion and suprasellar extension is observed. (d) Protrusion into the nasal cavities and right maxillary sinus are observed.
case_images: SNI-15-45-g001.jpg
case_images: PMC10927175_01_SNI-15-45-g001.jpg
case_images: F1
case_images: Protrusion into the nasal cavities and right maxillary sinus was also outlined [Figure 1].
case_images: (a) Immediate postoperative computed tomography scan demonstrating gross total resection (GTR) of the lesion. Postoperative day four magnetic resonance imaging (b) axial, (c) sagittal, and (d) coronal sections with GTR of the lesion.
case_images: SNI-15-45-g002.jpg
case_images: PMC10927175_01_SNI-15-45-g002.jpg
case_images: F2
case_images: A postoperative CT scan revealed GTR [Figure 2].
case_images: (a) Incision projection along the superior eyelid crease. (b) Exposure of the superolateral border of the orbital rim. (c) Immediate appearance of the eyelid reconstruction. (d) Residual scarring (red arrow) at follow-up shows no relevant esthetic disturbances.
case_images: SNI-15-45-g003.jpg
case_images: PMC10927175_01_SNI-15-45-g003.jpg
case_images: F3
case_images: At one month follow-up, the patient remained asymptomatic with minimal scarring in the periorbital region [Figure 3] and was referred for radiation protocol, which has been proven to be beneficial given the high radiosensitivity of these lesions.
case_images: Magnetic resonance imaging with recurrence of the lesion in (a) axial, (b) sagittal and (c) coronal cuts with invasion in the right orbital, sellar, suprasellar and parasellar compartments.
case_images: SNI-15-45-g004.jpg
case_images: PMC10927175_01_SNI-15-45-g004.jpg
case_images: F4
case_images: A magnetic resonance imaging (MRI) was ordered showing the recurrence of the sellar lesion [Figure 4].