{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:43:40Z","timestamp":1791035020556,"version":"4.1.0"},"reference-count":43,"publisher":"The Endocrine Society","issue":"6","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cystic lesions arising in the sellar region are not uncommon and encompass cystic pituitary adenomas, Rathke cleft cysts, craniopharyngiomas, and arachnoid cysts. Their clinical presentation may be similar, including headache, visual field defects, and anterior pituitary hormone deficits, which makes differential diagnosis challenging. On the other hand, imaging features may indicate certain pathologies. In this approach to the patient, we describe the case of a patient who presented with right temporal hemianopsia and a sellar\/suprasellar cystic lesion, which was determined to be Rathke cleft cyst. We discuss the imaging characteristics that may suggest a particular diagnosis between Rathke cleft cyst, cystic pituitary adenoma, craniopharyngioma, and arachnoid cyst and propose a flowchart for aiding in the imaging differential diagnosis.<\/jats:p>","DOI":"10.1210\/clinem\/dgac033","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T13:22:05Z","timestamp":1643462525000},"page":"1751-1758","source":"Crossref","is-referenced-by-count":29,"title":["Approach to the Patient: Differential Diagnosis of Cystic Sellar Lesions"],"prefix":"10.1210","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9250-3558","authenticated-orcid":false,"given":"M\u00f4nica R","family":"Gadelha","sequence":"first","affiliation":[{"name":"Neuroendocrinology Research Center\/Endocrinology Division, Medical School and Hospital Universit\u00e1rio Clementino Fraga Filho, Rio de Janeiro, Brazil"},{"name":"Neuropathology and Molecular Genetics Laboratory, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"},{"name":"Neuroendocrine Unit, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Eduardo","family":"Wildemberg","sequence":"additional","affiliation":[{"name":"Neuroendocrinology Research Center\/Endocrinology Division, Medical School and Hospital Universit\u00e1rio Clementino Fraga Filho, Rio de Janeiro, Brazil"},{"name":"Neuroendocrine Unit, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa Baranski","family":"Lamback","sequence":"additional","affiliation":[{"name":"Neuroendocrinology Research Center\/Endocrinology Division, Medical School and Hospital Universit\u00e1rio Clementino Fraga Filho, Rio de Janeiro, Brazil"},{"name":"Neuropathology and Molecular Genetics Laboratory, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"},{"name":"Neuroendocrine Unit, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique Alvares","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Radiology Unit, Instituto Estadual do C\u00e9rebro Paulo Niemeyer, Secretaria Estadual de Sa\u00fade, Rio de Janeiro, Brazil"},{"name":"Radiology Unit, Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva, Rio de Janeiro, Brazil"},{"name":"MRI Unit, Cl\u00ednica de Diagn\u00f3stico por imagem, DASA, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro","family":"Kasuki","sequence":"additional","affiliation":[{"name":"Neuroendocrinology Research Center\/Endocrinology 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