A rare case of pituitary macroadenoma with synchronous suprasellar meningioma.
Synchronous tumours can be found all along the entire neuraxis, however, some lesions are far less likely to coexist. One of these extremely rare associations is between GH-pituitary adenomas and suprasellar meningiomas. A wide spectrum of transcranial and transsphenoidal approaches were described i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2020-03-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1335 |
| _version_ | 1818666022813564928 |
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| author | Bogdan Ionut David Ligia Gabriela Tataranu Vasile Gheorghe Ciubotaru Aurelia Mihaela Sandu Radu Mircea Gorgan |
| author_facet | Bogdan Ionut David Ligia Gabriela Tataranu Vasile Gheorghe Ciubotaru Aurelia Mihaela Sandu Radu Mircea Gorgan |
| author_sort | Bogdan Ionut David |
| collection | DOAJ |
| description | Synchronous tumours can be found all along the entire neuraxis, however, some lesions are far less likely to coexist. One of these extremely rare associations is between GH-pituitary adenomas and suprasellar meningiomas. A wide spectrum of transcranial and transsphenoidal approaches were described in the literature for either sellar, suprasellar and parasellar lesions, but no agreement has been reached for the cases of simultaneous occurring lesions.
We present a rare case of a woman with GH-secreting pituitary adenoma and concomitant suprasellar meningioma. The strategy chosen was sequential transsphenoidal surgeries. However, after the first surgery, the remaining tumour mass did not mobilize as expected due to gravity, hence we decided to perform a transcranial subfrontal unilateral approach. Surprisingly, the second surgery revealed a different histopathological result.
Association of a GH-pituitary adenoma and suprasellar meningioma is very rare, only 17 cases being reported in the relevant literature so far. Different authors prefer different strategies, ranging from only transsphenoidal to simultaneous transsphenoidal and transcranial approaches, but no general consensus was established.
In conclusion, the existence of synchronous tumours of the sellar region should be taken into account when imaging studies reveal an intracranial mass developing both sellar and suprasellar. The surgical strategy should be tailored to every specific patient and experience of the neurosurgeon. |
| first_indexed | 2024-12-17T05:57:56Z |
| format | Article |
| id | doaj.art-dbfb41867c504b0884dc9f9e1127a2fb |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-17T05:57:56Z |
| publishDate | 2020-03-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-dbfb41867c504b0884dc9f9e1127a2fb2022-12-21T22:00:58ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592020-03-01341A rare case of pituitary macroadenoma with synchronous suprasellar meningioma.Bogdan Ionut DavidLigia Gabriela TataranuVasile Gheorghe CiubotaruAurelia Mihaela SanduRadu Mircea GorganSynchronous tumours can be found all along the entire neuraxis, however, some lesions are far less likely to coexist. One of these extremely rare associations is between GH-pituitary adenomas and suprasellar meningiomas. A wide spectrum of transcranial and transsphenoidal approaches were described in the literature for either sellar, suprasellar and parasellar lesions, but no agreement has been reached for the cases of simultaneous occurring lesions. We present a rare case of a woman with GH-secreting pituitary adenoma and concomitant suprasellar meningioma. The strategy chosen was sequential transsphenoidal surgeries. However, after the first surgery, the remaining tumour mass did not mobilize as expected due to gravity, hence we decided to perform a transcranial subfrontal unilateral approach. Surprisingly, the second surgery revealed a different histopathological result. Association of a GH-pituitary adenoma and suprasellar meningioma is very rare, only 17 cases being reported in the relevant literature so far. Different authors prefer different strategies, ranging from only transsphenoidal to simultaneous transsphenoidal and transcranial approaches, but no general consensus was established. In conclusion, the existence of synchronous tumours of the sellar region should be taken into account when imaging studies reveal an intracranial mass developing both sellar and suprasellar. The surgical strategy should be tailored to every specific patient and experience of the neurosurgeon.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1335pituitary macroadenomasynchronousstaged surgerysuprasellar meningioma |
| spellingShingle | Bogdan Ionut David Ligia Gabriela Tataranu Vasile Gheorghe Ciubotaru Aurelia Mihaela Sandu Radu Mircea Gorgan A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. Romanian Neurosurgery pituitary macroadenoma synchronous staged surgery suprasellar meningioma |
| title | A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. |
| title_full | A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. |
| title_fullStr | A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. |
| title_full_unstemmed | A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. |
| title_short | A rare case of pituitary macroadenoma with synchronous suprasellar meningioma. |
| title_sort | rare case of pituitary macroadenoma with synchronous suprasellar meningioma |
| topic | pituitary macroadenoma synchronous staged surgery suprasellar meningioma |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1335 |
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