Sunil K, Menon R, Goel Naina, Sanghvi Darshana, Bandgar Tushar, Joshi Shashank R, Menon Padma, Shah Nalini, Goel A
Department of Endocrinology, Seth GS Medical College and King Edward Memorial Hospital, Parel Mumbai 12, Maharashtra, India.
J Assoc Physicians India. 2007 Jun;55:453-6.
Tuberculous involvement of pituitary is extremely rare and is usually not suspected while dealing with pituitary adenomas, even in patients with history of systemic tuberculosis. We report a case of pituitary tuberculoma in a patient who was undergoing treatment for prostatic tuberculosis. Although diagnosis of sellar tuberculomas is difficult on clinical and radiological examinations, pituitary tuberculomas should be considered in the differential diagnosis of suprasellar masses, especially in developing countries as the condition is potentially curable with antituberculous treatment.
垂体结核累及极为罕见,在处理垂体腺瘤时通常不会被怀疑,即使是有系统性结核病史的患者。我们报告一例正在接受前列腺结核治疗的患者发生垂体结核瘤的病例。尽管鞍区结核瘤在临床和影像学检查中难以诊断,但在鞍上肿块的鉴别诊断中应考虑垂体结核瘤,尤其是在发展中国家,因为该疾病通过抗结核治疗有可能治愈。