A rare case of invasive pituitary tumor mimicking nasal mass

Pituitary apoplexy is a rare condition more often seen in large pituitary adenomas. It is preceded by an abrupt expansion of infarcted/hemorrhagic pituitary adenoma extending into the cavernous sinus or superiorly compressing the optic chiasm. An invasive pituitary tumor extends into the suprasellar...

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Main Authors: Inderdeep Singh, Shruti Anil Sharma, SGS Dutta, Gurpreet Kaur, D Phogat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Marine Medical Society
Subjects:
Online Access:http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=2;spage=168;epage=171;aulast=Singh
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author Inderdeep Singh
Shruti Anil Sharma
SGS Dutta
Gurpreet Kaur
D Phogat
author_facet Inderdeep Singh
Shruti Anil Sharma
SGS Dutta
Gurpreet Kaur
D Phogat
author_sort Inderdeep Singh
collection DOAJ
description Pituitary apoplexy is a rare condition more often seen in large pituitary adenomas. It is preceded by an abrupt expansion of infarcted/hemorrhagic pituitary adenoma extending into the cavernous sinus or superiorly compressing the optic chiasm. An invasive pituitary tumor extends into the suprasellar cistern by stretching and fenestrating the diaphragma sellae and arachnoids layer. It is labeled as invasion of the cavernous sinus when the percentage of encasement of the internal carotid artery by the tumor is 67% or greater or for Grade 3 or 4 of Knosp classification. A 51-year-old male presented with headache, vomiting, and bleeding from the nose for 3-day duration and blurring of vision for 2-day duration. Contrast-enhanced magnetic resonance imaging of the brain revealed an enhancing sellar and suprasellar lesion with characteristic expansion into the cavernous sinus and extension into the sphenoid sinus and nasopharynx. The patient underwent endoscopic transnasal transsphenoidal excision of the mass followed by three-dimensional conformational radiotherapy and hormone replacement therapy with a favorable clinical outcome.
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spelling doaj.art-b1c65dd43d1542589381e5c339f3c0862022-12-21T23:29:02ZengWolters Kluwer Medknow PublicationsJournal of Marine Medical Society0975-36052018-01-0120216817110.4103/jmms.jmms_52_18A rare case of invasive pituitary tumor mimicking nasal massInderdeep SinghShruti Anil SharmaSGS DuttaGurpreet KaurD PhogatPituitary apoplexy is a rare condition more often seen in large pituitary adenomas. It is preceded by an abrupt expansion of infarcted/hemorrhagic pituitary adenoma extending into the cavernous sinus or superiorly compressing the optic chiasm. An invasive pituitary tumor extends into the suprasellar cistern by stretching and fenestrating the diaphragma sellae and arachnoids layer. It is labeled as invasion of the cavernous sinus when the percentage of encasement of the internal carotid artery by the tumor is 67% or greater or for Grade 3 or 4 of Knosp classification. A 51-year-old male presented with headache, vomiting, and bleeding from the nose for 3-day duration and blurring of vision for 2-day duration. Contrast-enhanced magnetic resonance imaging of the brain revealed an enhancing sellar and suprasellar lesion with characteristic expansion into the cavernous sinus and extension into the sphenoid sinus and nasopharynx. The patient underwent endoscopic transnasal transsphenoidal excision of the mass followed by three-dimensional conformational radiotherapy and hormone replacement therapy with a favorable clinical outcome.http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=2;spage=168;epage=171;aulast=SinghNasal approachneuroendoscopysellarsuprasellar tumors
spellingShingle Inderdeep Singh
Shruti Anil Sharma
SGS Dutta
Gurpreet Kaur
D Phogat
A rare case of invasive pituitary tumor mimicking nasal mass
Journal of Marine Medical Society
Nasal approach
neuroendoscopy
sellar
suprasellar tumors
title A rare case of invasive pituitary tumor mimicking nasal mass
title_full A rare case of invasive pituitary tumor mimicking nasal mass
title_fullStr A rare case of invasive pituitary tumor mimicking nasal mass
title_full_unstemmed A rare case of invasive pituitary tumor mimicking nasal mass
title_short A rare case of invasive pituitary tumor mimicking nasal mass
title_sort rare case of invasive pituitary tumor mimicking nasal mass
topic Nasal approach
neuroendoscopy
sellar
suprasellar tumors
url http://www.marinemedicalsociety.in/article.asp?issn=0975-3605;year=2018;volume=20;issue=2;spage=168;epage=171;aulast=Singh
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