Wu Ruhong, Ma Tao, Jia Geng, Qin Huaping
Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, No.185, Juqian Road, Changzhou 213003, China.
Transl Cancer Res. 2020 May;9(5):3766-3770. doi: 10.21037/tcr.2020.03.78.
The coexistence of pituitary adenoma and meningioma is very rare. Here, we present a case of recurrent non-functioning pituitary adenoma and temporal lobe meningioma in a patient without previous irradiation. A 73-year-old woman underwent a right-sided craniotomy of pituitary adenoma for visual deficits 30 years ago. She presented again with a 2-year history of lack of alertness, confusion and visual deficits. Brain magnetic resonance imaging (MRI) demonstrated a recurrent pituitary adenoma and a left temporal lobe tumour. The patient underwent a left frontotemporal craniotomy. After the surgery, the patient showed improvement in neurological symptoms. The histology of the sellar region tumour revealed that it was a pituitary adenoma, and the histology of the temporal lobe tumour demonstrated that it was a meningioma of transitional type. The coexistence of pituitary adenoma and meningioma is a very rare surgical entity, especially in a patient with recurrent pituitary adenoma. Although this co-occurrence is rare, more cases and additional studies are necessary to explain these unusual findings.
垂体腺瘤和脑膜瘤并存极为罕见。在此，我们报告一例既往无放疗史患者复发性无功能垂体腺瘤合并颞叶脑膜瘤的病例。一名73岁女性30年前因视力缺损接受了垂体腺瘤右侧开颅手术。她再次出现，有2年意识不清、精神错乱和视力缺损病史。脑部磁共振成像（MRI）显示复发性垂体腺瘤和左侧颞叶肿瘤。该患者接受了左额颞开颅手术。术后，患者神经症状有所改善。鞍区肿瘤组织学检查显示为垂体腺瘤，颞叶肿瘤组织学检查显示为过渡型脑膜瘤。垂体腺瘤和脑膜瘤并存是一种非常罕见的外科情况，尤其是在复发性垂体腺瘤患者中。尽管这种并存情况罕见，但仍需要更多病例和进一步研究来解释这些不寻常的发现。
