Features of a necrotic/hemorrhagic pituitary macroadenoma with impingement upon the optic chiasm, and cavernous sinus content, particularly on the left.
Pituitary apoplexy represents a clinical syndrome related to an acute hemorrhagic or ischemic transformation of a pituitary macroadenoma or even the normal adenohypophysis. Clinically it is characterized by a headache, visual impairment, and ophthalmoplegia.
Bleeding in the pituitary gland is clinically silent in most cases 1.
Histology images and report were courtesy of the Royal Melbourne Hospital Pathology Department.