A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis
Abstract Background Conjunctival chemosis (CC) is an extremely rare symptom of pituitary neuroendocrine tumor (PitNET). We report an extremely rare case of PitNET manifesting as severe CC. Case presentation A 48-year-old male was admitted to our hospital with severe CC, proptosis, and ptosis of the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03224-5 |
| _version_ | 1797453501549248512 |
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| author | Shun Yamamuro Atsuo Yoshino Takuma Nishide Hiroshi Negishi Takahiro Kumagawa |
| author_facet | Shun Yamamuro Atsuo Yoshino Takuma Nishide Hiroshi Negishi Takahiro Kumagawa |
| author_sort | Shun Yamamuro |
| collection | DOAJ |
| description | Abstract Background Conjunctival chemosis (CC) is an extremely rare symptom of pituitary neuroendocrine tumor (PitNET). We report an extremely rare case of PitNET manifesting as severe CC. Case presentation A 48-year-old male was admitted to our hospital with severe CC, proptosis, and ptosis of the right eye. Magnetic resonance imaging demonstrated the tumor mass invading the cavernous sinus (CS) with cystic lesion. The patient underwent emergent endoscopic transsphenoidal surgery, and the pathological diagnosis was PitNET. CC of the right eye remarkably improved after the surgery. Glucocorticoid therapy was performed for right oculomotor nerve palsy, which rapidly improved. The postoperative course was uneventful and the patient was discharged from our hospital without hormone replacement. Conclusions CC caused by CS invasion of PitNET can be cured by early surgical treatment. Therefore, PitNET is important to consider in the differential diagnosis of CC. |
| first_indexed | 2024-03-09T15:23:45Z |
| format | Article |
| id | doaj.art-c95847731e4448c1848d444dad8e56f3 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-09T15:23:45Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-c95847731e4448c1848d444dad8e56f32023-11-26T12:39:49ZengBMCBMC Ophthalmology1471-24152023-11-012311410.1186/s12886-023-03224-5A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosisShun Yamamuro0Atsuo Yoshino1Takuma Nishide2Hiroshi Negishi3Takahiro Kumagawa4Department of Neurological Surgery, Nihon University School of MedicineDepartment of Neurological Surgery, Nihon University School of MedicineDepartment of Neurological Surgery, Nihon University School of MedicineDepartment of Neurological Surgery, Nihon University School of MedicineDepartment of Neurological Surgery, Nihon University School of MedicineAbstract Background Conjunctival chemosis (CC) is an extremely rare symptom of pituitary neuroendocrine tumor (PitNET). We report an extremely rare case of PitNET manifesting as severe CC. Case presentation A 48-year-old male was admitted to our hospital with severe CC, proptosis, and ptosis of the right eye. Magnetic resonance imaging demonstrated the tumor mass invading the cavernous sinus (CS) with cystic lesion. The patient underwent emergent endoscopic transsphenoidal surgery, and the pathological diagnosis was PitNET. CC of the right eye remarkably improved after the surgery. Glucocorticoid therapy was performed for right oculomotor nerve palsy, which rapidly improved. The postoperative course was uneventful and the patient was discharged from our hospital without hormone replacement. Conclusions CC caused by CS invasion of PitNET can be cured by early surgical treatment. Therefore, PitNET is important to consider in the differential diagnosis of CC.https://doi.org/10.1186/s12886-023-03224-5Conjunctival chemosisPituitary neuroendocrine tumorTranssphenoidal surgeryCavernous sinusOculomotor nerve palsy |
| spellingShingle | Shun Yamamuro Atsuo Yoshino Takuma Nishide Hiroshi Negishi Takahiro Kumagawa A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis BMC Ophthalmology Conjunctival chemosis Pituitary neuroendocrine tumor Transsphenoidal surgery Cavernous sinus Oculomotor nerve palsy |
| title | A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| title_full | A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| title_fullStr | A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| title_full_unstemmed | A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| title_short | A case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| title_sort | case report of pituitary neuroendocrine tumor manifesting as severe conjunctival chemosis |
| topic | Conjunctival chemosis Pituitary neuroendocrine tumor Transsphenoidal surgery Cavernous sinus Oculomotor nerve palsy |
| url | https://doi.org/10.1186/s12886-023-03224-5 |
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