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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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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. |
first_indexed | 2024-12-13T22:33:26Z |
format | Article |
id | doaj.art-b1c65dd43d1542589381e5c339f3c086 |
institution | Directory Open Access Journal |
issn | 0975-3605 |
language | English |
last_indexed | 2024-12-13T22:33:26Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Marine Medical Society |
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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