Tumors involving the sella are commonly craniopharyngiomas, optic pathway gliomas, or pituitary adenomas. Functioning adenomas are expected, with prolactinomas topping the differential. The authors present the case of a silent corticotroph adenoma, which has not been described in the pediatric population, and they detail the use of proton therapy, which is also novel.
Keywords: ACTH = adrenocorticotrophic hormone; CTV = clinical target volume; EVD = external ventricular drain; FSH = follicle-stimulating hormone; GH = growth hormone; IGF-1 = insulin-like growth factor–1; NFA = nonfunctioning adenoma; RT = radiation therapy; SCA = silent corticotroph adenoma; brain tumor; pediatric; pituitary adenoma; pituitary surgery; proton therapy.