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Updated: Jul 16, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Silent ACTH cell adenoma in coincidence with granulomatous hypophysitis--a case report
Wolfgang Saeger1, Bernd M Hofmann, Rolf Buslei
1Institute of Pathology of the Marienkrankenhaus Hamburg, Hamburg, Germany. saeger.patho@marienkrankenhaus.org
Abstract:
A 44-year-old male suffered from an inactive pituitary adenoma measuring 20mm in computed tomography (CT) scan and nuclear magnetic resonance tomography (NMR). The tumor was surgically resected via the transnasal-transsphenoidal route. Surgical specimens revealed a typical, sparsely granulated adrenocorticotropic hormone (ACTH) cell adenoma, but also a granulomatous inflammation mostly in the periphery of the tumor, corresponding to a granulomatous hypophysitis. This coincidence appears to be unique and has yet not been described in the literature. Therefore, the clinical data and the pathohistologic and ultrastructural findings are presented here.
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