Tropinskaia O F, Shishkina L V, Shkarubo A N, Astaf'eva L I, Shimanskiĭ V N
Zh Vopr Neirokhir Im N N Burdenko. 2009 Oct-Dec(4):54-5; discussion 56.
A case observation of unusual course of pituitary adenoma is presented. In 47-year old male patient with endo-supra-laterosellar pituitary adenoma and active acromegaly 2 different tumors were discovered intraoperatively during surgery for recurrence of the primary tumor. The first tumor was pituitary adenoma with nuclear polymorphism and the second was meningotheliomatous meningioma with solitary mitoses. After surgery the patient received radiation therapy. After 5 years the patient developed visual deterioration and clinical signs of tumor of left cerebellopontine angle. After removal of posterior fossa lesion, pituitary adenoma was verified.
本文报告一例垂体腺瘤不寻常病程的病例观察。一名47岁男性患者,患有鞍内-鞍上-鞍旁垂体腺瘤且肢端肥大症活跃,在因原发性肿瘤复发进行手术时,术中发现了2种不同的肿瘤。第一种肿瘤是具有核多形性的垂体腺瘤,第二种是具有单个有丝分裂象的脑膜皮型脑膜瘤。术后患者接受了放射治疗。5年后,患者出现视力减退及左侧小脑桥脑角肿瘤的临床体征。切除后颅窝病变后,证实为垂体腺瘤。