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双垂体微腺瘤的磁共振成像:一种罕见的术前诊断

MRI Imaging of Double Pituitary Microadenoma: A Rare Preoperative Diagnosis.

作者信息

Bhansali Pratik J, Lakhkar Bhushita, Dhande Rajasbala P, Lakhkar Bhushan

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed To Be University), Wardha, IND.

出版信息

Cureus. 2022 Apr 13;14(4):e24100. doi: 10.7759/cureus.24100. eCollection 2022 Apr.

DOI:10.7759/cureus.24100
PMID:35573544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9101809/
Abstract

Pituitary adenomas are benign, single, monoclonal slow-growing neoplasms usually related to chemical overproduction. A pituitary adenoma is the third most common intracranial tumor, with the first two being glioma and meningioma. Double pituitary adenoma is an infrequently occurring case and is characterized as occurrence of two adenomas in the single pituitary gland, both having typical immunohistochemical and histopathological highlights. In most of the cases, pituitary adenomas occurring as double adenomas are associated with Cushing's disease. It is further categorized into contiguous and clearly distinct types. Clearly distinct tumors are recognized on neuroradiological imaging. We present imaging findings of a rare case of a double pituitary microadenoma. Early diagnosis of such a rare condition is important and prevents further consequences.

摘要

垂体腺瘤是良性、单发、单克隆性生长缓慢的肿瘤,通常与化学物质过度分泌有关。垂体腺瘤是第三常见的颅内肿瘤,前两位是胶质瘤和脑膜瘤。双垂体腺瘤是一种罕见病例,其特征是在单个垂体腺体内出现两个腺瘤,两者均具有典型的免疫组织化学和组织病理学特征。在大多数情况下,以双腺瘤形式出现的垂体腺瘤与库欣病有关。它进一步分为相邻型和明显分离型。在神经放射影像学上可识别出明显分离的肿瘤。我们展示了一例罕见的双垂体微腺瘤的影像学表现。对这种罕见疾病的早期诊断很重要,可以防止进一步的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/f5ef9f0eaafb/cureus-0014-00000024100-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/b14eed31bc5b/cureus-0014-00000024100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/277370c41547/cureus-0014-00000024100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/f5ef9f0eaafb/cureus-0014-00000024100-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/b14eed31bc5b/cureus-0014-00000024100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/277370c41547/cureus-0014-00000024100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5584/9101809/f5ef9f0eaafb/cureus-0014-00000024100-i03.jpg

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本文引用的文献

1
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2
Double separate versus contiguous pituitary adenomas: MRI features and endocrinological follow up.双分离性垂体腺瘤与相邻垂体腺瘤:MRI特征及内分泌随访
Pituitary. 2016 Oct;19(5):472-81. doi: 10.1007/s11102-016-0727-0.
3
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AJR Am J Roentgenol. 1989 Jan;152(1):145-51. doi: 10.2214/ajr.152.1.145.
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Multiple adenomas of the human pituitary. A retrospective autopsy study with clinical implications.人类垂体多发性腺瘤。一项具有临床意义的回顾性尸检研究。
J Neurosurg. 1991 Feb;74(2):243-7. doi: 10.3171/jns.1991.74.2.0243.
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