Pituitary macroadenoma

Case contributed by Heba Abdelmonem
Diagnosis certain


Headache with blurred vision. The patient had a biopsy.

Patient Data

Age: 35 years
Gender: Female

Large well defined sellar/suprasellar mass measuring19x21x21 mm. It shows a low T1 signal with high T2 and FLAIR signal and homogeneous enhancement. It abuts and mildly elevates the optic chiasm. No para sellar extension with grade 0 cavernous sinus invasion.

Surgically removed left middle turbinate with left sphenoid sinus floor defect.

Case Discussion

Pathology:  Diffusely infiltrating monomorphic cells as well as trabeculae slightly larger than normal with central uniform nuclei and infrequent mitosis. No evidence of hemorrhage or anaplastic features. Findings are consistent with a Pituitary macroadenoma

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.