Pituitary macroadenoma

Case contributed by Ian Bickle , 13 Oct 2016
Diagnosis certain
Changed by Frank Gaillard, 3 Nov 2016

Updates to Study Attributes

Findings was changed:

Well defined avidly enhancing mass in the anterior pituitary measuring 2.1 x 1.7 x 1.6cm, which displaces the posterior pituitary bright spot to the right.

This abuts and mildly compresses the optic chiasm.  The intracavernous internal carotid arteries abut the mass laterally.

Normal infundibulum.

The remainder of the intracranial appearances are normal.

Updates to Case Attributes

Body was changed:

Pituitary macroadenomas are the most common suprasellar mass in adults. Pituitary adenomas are lesions greater than 10 mm in size and are approximately twice as common as pituitary microadenomas.

Identifying the posterior pituitary bright spot is important to identify and mention in reports to avoid diabetes insipidus

This patient underwent a transsphenoidal hypophysectomy.

  • -<p><strong>Pituitary macroadenomas </strong>are the most common <a href="/articles/pituitary-region-masses">suprasellar mass</a> in adults. <a title="Pituitary adenomas" href="/articles/pituitary-adenoma">Pituitary adenomas</a> are lesions greater than 10 mm in size and are approximately twice as common as <a href="/articles/pituitary-microadenoma">pituitary microadenomas</a>.</p><p>This patient underwent a transsphenoidal hypophysectomy.</p>
  • +<p><strong>Pituitary macroadenomas </strong>are the most common <a href="/articles/pituitary-region-masses">suprasellar mass</a> in adults. <a href="/articles/pituitary-adenoma">Pituitary adenomas</a> are lesions greater than 10 mm in size and are approximately twice as common as <a href="/articles/pituitary-microadenoma">pituitary microadenomas</a>.</p><p>Identifying the posterior pituitary bright spot is important to identify and mention in reports to avoid <a title="Diabetes insipidus" href="/articles/diabetes-insipidus">diabetes insipidus</a>. </p><p>This patient underwent a transsphenoidal hypophysectomy.</p>

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