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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Ectopic suprasellar pituitary adenoma. A case report
F Caranci1, L Cirillo, F Bartiromo
1Neuroradiology Department; "Federico II" University of Naples; Italy - ferdinandocaranci@libero.it.
The Neuroradiology Journal
|December 20, 2013
Summary
Ectopic pituitary adenomas outside the sella turcica are rare. This case highlights successful endoscopic endonasal surgery for a non-secreting adenoma located above the diaphragma sellae.
Area of Science:
- Neurosurgery
- Endocrinology
- Pathology
Background:
- Ectopic pituitary adenomas, located outside the sella turcica, represent an extremely rare clinical entity.
- Non-secreting pituitary adenomas can occur in ectopic locations, posing diagnostic and therapeutic challenges.
Purpose of the Study:
- To report a rare case of a non-secreting pituitary adenoma situated entirely above the diaphragma sellae.
- To discuss the diagnostic considerations and surgical management of ectopic pituitary adenomas.
Main Methods:
- Surgical case report detailing a patient with an ectopic pituitary adenoma.
- Initial transsphenoidal surgery followed by successful endoscopic endonasal transsphenoidal approach.
- Histopathological confirmation of the pituitary adenoma.
Main Results:
- A non-secreting pituitary adenoma was confirmed surgically in the suprasellar supraglandular region, above the diaphragma sellae.
- Initial transsphenoidal surgery was unsuccessful; endoscopic endonasal approach provided successful tumor removal.
- The surgical approach was extended to the tuberculum sellae and posterior planum sphenoidale.
Conclusions:
- Ectopic pituitary adenomas are rare and require tailored surgical strategies.
- Endoscopic endonasal transsphenoidal surgery can be effective for accessing and removing suprasellar ectopic pituitary adenomas.
- Careful preoperative diagnosis and surgical planning are crucial for managing these rare tumors.
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