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Updated: Jun 24, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Intra-sellar schwannoma co-existing with GH-secreting pituitary adenoma
Maria Koutourousiou1, Andreas Seretis, George Kontogeorgos
1Department of Neurosurgery, G. Gennimatas Athens General Hospital, Greece. mkoutourousiou@yahoo.gr
Background:
We present a unique example of an intra-sellar schwannoma co-existing with a growth hormone (GH)-secreting pituitary adenoma.
Method And Findings:
The patient presented with acromegaly and magnetic resonance imaging (MRI) revealed an intra-sellar mass. The tumour was totally resected via a sub-labial trans-sphenoidal approach. Histopathology demonstrated the presence of a GH-secreting adenoma as well as a schwannoma at the periphery of the adenoma. After surgical excision, remission of the acromegaly occurred. Follow-up monitoring showed no evidence of recurrence of the adenoma two years after surgery.
Conclusion:
To the best of our knowledge, this is the first example of an intra-sellar schwannoma co-existing with a GH-secreting pituitary adenoma.
