Metastatic tumors in the sellar and parasellar regions: Clinical review offour cases

Metastatic tumors in the sellar and parasellar regions are uncommon and rar ely detected in clinical practice. We present four cases of sellar and para sellar metastatic tumors, which metastasized from distant organ in one case and extended directly from adjacent structures in three. Common presenting symptoms were cranial neuropathies, headache and facial pain. Invasion int o the cavernous sinus was noted in all cases. We report rare cases of sella r and parasellar metastases. Also, we should consider the possibility of me tastasis in these regions for patients who showed the above clinical presen tations in systemic cancer patients. In extensive diseases, transient sympt omatic relief could be obtained by direct surgical management, even in rest ricted degree.