Albadr Fahad B, Alhatlani Anwar H, Alhelal Nawaf S, Albakri Abdullah A, Alhumidi Ahmed A, Alshwieer Mohammed A
Radiology and Medical Imaging/Neuroradiology, King Saud University Medical City, Riyadh, SAU.
Medicine, Qassim University, Buraydah, SAU.
Cureus. 2024 Feb 17;16(2):e54352. doi: 10.7759/cureus.54352. eCollection 2024 Feb.
A 60-year-old woman presented with a history of a previously diagnosed sellar mass and a recent onset of severe headache, vision loss, and dizziness. The patient was found to have a large mass with curvilinear calcification on imaging. Histopathology confirmed the presence of a pituitary adenoma with abnormal acini, consistent with adenoma, and moderate amounts of granular eosinophilic cytoplasm. A detailed analysis of the patterns of calcification and the radiological morphology is crucial to distinguishing between pituitary adenoma and craniopharyngioma. Recognition of these patterns can aid in distinguishing between these conditions, providing a more accurate diagnosis and an effective treatment plan.
一名60岁女性,有既往诊断为鞍区肿物的病史,近期出现严重头痛、视力丧失和头晕。影像学检查发现患者有一个伴有曲线状钙化的大肿物。组织病理学证实存在垂体腺瘤,腺泡异常,符合腺瘤表现,并有中等量颗粒状嗜酸性细胞质。详细分析钙化模式和放射学形态对于区分垂体腺瘤和颅咽管瘤至关重要。识别这些模式有助于区分这些疾病状态,从而提供更准确的诊断和有效的治疗方案。