Pituitary macroadenoma (teaching)
Adult presenting with headache and visual problems.
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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.
3 case question available
Pituitary tumors are common with studies suggesting a prevalence of 1 in 1000.
Often tumors 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.
Thanks to Dr Frank Gaillard for contributing this case, which can be viewed here.