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Suprasellar ectopic pituitary adenoma--case report

M Kohno1, T Sasaki, Y Narita

  • 1Department of Neurosurgery, Faculty of Medicine, Tokyo University, Japan.

Neurologia Medico-Chirurgica
|August 1, 1994
PubMed
Summary

A rare ectopic pituitary adenoma presented as a suprasellar mass, causing visual disturbances. Surgical removal resolved symptoms, highlighting the importance of considering ectopic pituitary adenoma in suprasellar lesion diagnoses.

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Area of Science:

  • Endocrinology
  • Neurosurgery
  • Ophthalmology

Background:

  • Ectopic pituitary adenomas are rare tumors arising outside the sella turcica.
  • Suprasellar masses can present with significant visual impairment.
  • Accurate preoperative diagnosis is crucial for effective surgical planning.

Observation:

  • A 33-year-old female presented with visual disturbances due to a suprasellar cystic tumor.
  • Magnetic resonance imaging showed an intact pituitary gland, suggesting a differential diagnosis of craniopharyngioma.
  • Intraoperative findings revealed a suprasellar ectopic pituitary adenoma with an intracapsular hematoma.

Findings:

  • The ectopic pituitary adenoma was completely removed surgically.
  • Immediate improvement in severe visual disturbances was observed post-surgery.

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  • No communication was found between the tumor and intrasellar pituitary structures.
  • Implications:

    • Ectopic pituitary adenoma should be included in the differential diagnosis for suprasellar lesions, especially with an intact pituitary gland.
    • Prompt surgical intervention can effectively alleviate visual deficits caused by these tumors.
    • This case underscores the importance of considering rare pathologies in neurosurgical evaluations.