忽隐忽现：一例垂体瘤自发消退病例

Jaafar Ainul Syahril, Mohd Shokri Siti Salwa, Paramasvaran Sanmugarajah, Palaniandy Kamalanathan, Fadzil Farizal

Neurosurgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, MYS.

Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, MYS.

Cureus. 2020 Jul 14;12(7):e9174. doi: 10.7759/cureus.9174.

Spontaneous regression of pituitary tumours are rare and can be due to tumour ischaemia, pituitary apoplexy, or lymphocytic hypophysitis. We report a case of a 32-year-old female, who presented with symptoms and signs of extrasellar pituitary enlargement and hypothyroidism. MRI revealed a pituitary mass that spontaneously regressed after a month, with complete resolution of symptoms. Not all pituitary tumours require surgical intervention especially in the case of autoimmune lymphocytic hypophysitis.

垂体肿瘤的自发消退很罕见，可能是由于肿瘤缺血、垂体卒中或淋巴细胞性垂体炎。我们报告一例32岁女性病例，该患者出现鞍外垂体增大和甲状腺功能减退的症状和体征。磁共振成像（MRI）显示一个垂体肿块，一个月后自发消退，症状完全缓解。并非所有垂体肿瘤都需要手术干预，尤其是在自身免疫性淋巴细胞性垂体炎的情况下。