Kinoshita Yasuyuki, Tominaga Atsushi, Arita Kazunori, Hama Seiji, Sakoguchi Tetsuhiko, Sugiyama Kazuhiko, Kurisu Kaoru
Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan.
Neurol Med Chir (Tokyo). 2012;52(2):91-5. doi: 10.2176/nmc.52.91.
A 59-year-old woman presented with a rare supra-diaphragmatic pituitary adenoma manifesting as a mass lesion. Her baseline data and the response of anterior pituitary hormones to the provocation test were within the normal range. Magnetic resonance imaging showed a homogeneously enhanced tumor located on the diaphragma sellae. The tumor was totally removed by the endonasal trans-tuberculum sellae approach under combined microscopic and endoscopic observation. Her postoperative course was uneventful and the histological diagnosis was pituitary adenoma located in the suprasellar region. The trans-tuberculum sellae approach is a less invasive method to remove pituitary adenoma located in the suprasellar region.
一名59岁女性因罕见的膈上垂体腺瘤以肿块病变形式就诊。她的基线数据以及垂体前叶激素对激发试验的反应均在正常范围内。磁共振成像显示位于鞍膈的肿瘤呈均匀强化。在显微镜和内镜联合观察下，通过经鼻经结节鞍区入路将肿瘤完全切除。她的术后过程顺利，组织学诊断为鞍上区垂体腺瘤。经结节鞍区入路是一种切除鞍上区垂体腺瘤的侵入性较小的方法。
