Raeesa Fathima, Mahale Ajit
Department of Radiodiagnosis, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Radiol Case Rep. 2020 May 19;15(7):1050-1053. doi: 10.1016/j.radcr.2020.04.021. eCollection 2020 Jul.
Pituitary macroadenoma is the most common suprasellar lesion in adults. If symptomatic, it is managed surgically via transsphenoidal resection. Patients commonly present with headache and visual disturbances. If the tumour is large enough, it may have mass effect and patient may present with symptoms of elevated intracranial pressure like severe headache, nausea and vomiting. Functional adenomas may cause endocrine dysfunction. Here, we present a case of pituitary macroadenoma in a young adult female who presented with headache. Initial CT and MRI revealed a pituitary macroadenoma. However, repeat imaging done preoperatively showed complete regression of the lesion and a normal appearing pituitary gland.
垂体大腺瘤是成人最常见的鞍上病变。如果出现症状,可通过经蝶窦切除术进行手术治疗。患者通常表现为头痛和视觉障碍。如果肿瘤足够大,可能会产生占位效应,患者可能会出现颅内压升高的症状,如严重头痛、恶心和呕吐。功能性腺瘤可能导致内分泌功能障碍。在此,我们报告一例年轻成年女性垂体大腺瘤病例,该患者表现为头痛。最初的CT和MRI显示为垂体大腺瘤。然而,术前复查影像学显示病变完全消退,垂体腺外观正常。