Yamada K, Hatayama T, Ohta M, Sakoda K, Uozumi T
Neurosurgery. 1986 Aug;19(2):267-70. doi: 10.1227/00006123-198608000-00016.
We report a patient who had pituitary adenoma and parasellar meningioma coincidentally, with neither irradiation nor a history of head injury. Preoperative computed tomographic (CT) scan had shown a large intrasellar mass with ring-like enhancement; in contact with this mass, another well-enhanced mass had been shown. Histopathologically, the intrasellar mass was diagnosed as chromophobic pituitary adenoma and the other mass as meningotheliomatous meningioma. We present clinical, radiological, and histopathological findings and discuss previously reported cases of coincidental pituitary adenoma and meningioma without irradiation. This is the first case report since the advent of CT that pituitary adenoma and parasellar meningioma in contact with each other could be clearly demonstrated by CT.
我们报告了一名同时患有垂体腺瘤和鞍旁脑膜瘤的患者，该患者既未接受过放疗，也无头部受伤史。术前计算机断层扫描（CT）显示鞍内有一巨大肿块，呈环状强化；与此肿块相邻，还显示有另一个强化良好的肿块。组织病理学检查显示，鞍内肿块被诊断为嫌色性垂体腺瘤，另一个肿块为脑膜皮型脑膜瘤。我们展示了临床、放射学和组织病理学检查结果，并讨论了先前报道的无放疗史的垂体腺瘤和脑膜瘤并存的病例。这是自CT问世以来，首例通过CT清晰显示相互毗邻的垂体腺瘤和鞍旁脑膜瘤的病例报告。
