Radiology Case Reports (Oct 2022)

A rare case of sphenoid giant cell tumor: Case report & review of imaging features post short-term denosumab treatment

  • Farid Aassouani, MD,
  • Nizar El Bouardi, PhD,
  • Yahya Charifi, MD,
  • Kaoutar Maadin, MD,
  • Amina Bouziane, MD,
  • Meryem Haloua, PhD,
  • Moulay Youssef Alaoui Lamrani, PhD,
  • Samia Arifi, PhD,
  • Touria Bouhafa, PhD,
  • Meriem Boubbou, PhD,
  • Mustapha Maaroufi, PhD,
  • Badreeddine Alami, PhD

Journal volume & issue
Vol. 17, no. 10
pp. 3830 – 3834

Abstract

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Background: Giant cell tumors (GCTs) are locally aggressive but rarely malignant bone neoplasms that uncommonly involve the skull. In this report, we describe a tumor of the sphenoid sinus. Case presentation: A 51-year-old female was presented with headache, and bilateral decreased visual acuity, CT scan, and brain MRI revealed an infra-sellar enhancing tumor expanding to the sellar and supra-sellar region which proved to be a GCT. the patient had received 03 months of preoperative denosumab-based treatment and imaging follow-up showed regression in size and morphology modifications of tumor tissue. Conclusion: This is one of few reports to describe the appearance of sphenoid bone GCT, and the first report to highlight the effects of short-term denosumab treatment in GCTb in such a location.

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