IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Pituitary macroadenoma

Case contributed by UoE Radiology
Diagnosis almost certain

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 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.

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.