Tanriover Necmettin, Kucukyuruk Baris, Hatipoglu Esra, Comunoglu Nil
Istanbul University, Cerrahpasa Medical Faculty, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2014;24(6):967-73. doi: 10.5137/1019-5149.JTN.9688-13.0.
A 39-year-old male without any significant complaints or symptoms presented with a calcified lesion located at the sellar region. Total removal of the lesion has been achieved via an endoscopic endonasal transsphenoidal approach. Histopathological examination of the lesion revealed a pituitary stone. This report describes the first pituitary stone formed within a plurihormonal pituitary adenoma and also differs from previous studies in means of chosen surgical method that is the first endoscopic approach to a pituitary stone. Additionally, by reviewing previous cases, a classification has been proposed and possible pathophysiological mechanisms behind this rare entity have been discussed.
一名39岁男性,无任何明显不适或症状,因蝶鞍区钙化病灶就诊。通过鼻内镜经蝶窦入路已将病灶完全切除。病灶的组织病理学检查显示为垂体结石。本报告描述了首例在多激素垂体腺瘤内形成的垂体结石,并且在所选手术方法上也与以往研究不同,这是首次采用内镜方法处理垂体结石。此外,通过回顾既往病例,提出了一种分类方法,并讨论了这种罕见疾病背后可能的病理生理机制。