So Gohei, Takeshita Tomoki, Morofuji Yoichi, Iseki Masachika, Hayashi Tomayoshi, Matsuo Takayuki, Suyama Kazuhiko, Nagata Izumi
Department of Neurosurgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
No Shinkei Geka. 2008 Dec;36(12):1121-5.
A case of nonfunctioning suprasellar ectopic pituitary adenoma in a 49-year-old man is reported. The patient was refered to us with a partial visual field defect of the right eye. Neuroendocrinological examinations showed slightly higher levels of adrenocorticotrophic hormone and prolactin. MR imagings revealed an enhancing suprasellar tumor and a normal pituitary gland in the sella turcica. The patient underwent a craniotomy and the tumor was partially removed, although it was firmly attached to the pituitary stalk. The tumor was diagnosed histologically as a nonfunctioning pituitary adenoma. Cases of nonfunctioning suprasellar ectopic pituitary adenoma have rarely been reported. The pathophysiology of such tumors is discussed.
报道了一例49岁男性非功能性鞍上异位垂体腺瘤病例。该患者因右眼部分视野缺损转诊至我院。神经内分泌检查显示促肾上腺皮质激素和催乳素水平略高。磁共振成像显示鞍上有一个强化肿瘤,蝶鞍内垂体正常。患者接受了开颅手术,肿瘤虽与垂体柄紧密相连,但仍被部分切除。肿瘤经组织学诊断为非功能性垂体腺瘤。非功能性鞍上异位垂体腺瘤病例鲜有报道。本文对这类肿瘤的病理生理学进行了讨论。