Pituitary macroadenoma (teaching)

Case contributed by UoE Radiology

Presentation

Adult presenting with headache and visual problems.

Patient Data

Age: Adult
MRI

MRI

This MRI shows a large pituitary macroadenoma.

Not only does it grow superiorly (displacing and compressing the optic chiasm) it also invades the sphenoid sinus anteriorly.

Case Discussion

Pituitary tumours are common with studies suggesting a prevalence of 1 in 1000.

Often tumours of this size are managed surgically (usually trans-sphenoidal resection) but medical management (e.g. bromocriptine) can be used for some smaller lesions.

All cases should have a multi-disciplinary approach with neurosurgery, ophthalmology and endocrine input and management.

 

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Thanks to Dr Frank Gaillard for contributing this case, which can be viewed here.

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Case information

rID: 34480
Case created: 22nd Feb 2015
Last edited: 20th Sep 2016
Inclusion in quiz mode: Included

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