Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature
Autor: | Hamed Hanif, Seyed-Abolghasem Mortazavi, Abbas Amirjamshidi, Saeed Saeedinia, Reza Sanjari, Mohamad Shirani |
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Rok vydání: | 2015 |
Předmět: |
Multiple primary brain tumor
Pathology medicine.medical_specialty Suprasellar region endocrine system diseases Adenoma business.industry Suprasellar meningioma lcsh:Surgery Brain tumor lcsh:RD1-811 Suprasellar Meningioma medicine.disease Pituitary adenoma lcsh:RC321-571 Concomitant Acromegaly medicine Prolactinoma business lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry |
Zdroj: | Iranian Journal of Neurosurgery, Vol 1, Iss 1, Pp 43-46 (2015) |
ISSN: | 2423-6829 2423-6497 |
DOI: | 10.18869/acadpub.irjns.1.1.43 |
Popis: | Background and Importance: The coexistence of pituitary adenoma and another type of brain tumor is a very rare clinical scenario. Even though such a presentation can be an incidental event but the possible pathogenesis of coexistence of different lesions in the sella and suprasellar region has not yet been elucidated. Case Presentation: Two cases of concomitant sellar and suprasellar region tumors are reported. A 37-year-old lady with Prolactinoma and a suprasellar meningioma and a 42-year-old Acromegalic man with suprasellar meningioma and a pituitary adenoma (PA). Conclusion: Both meningiomas were removed transcranially while the Prolactinoma could be managed medically and the growth hormone (GH) secreting adenoma was removed trans-sphenoidally. The visual problems and hormonal imbalances of both patients improved postoperatively and there has been no sign of recurrence of the lesions after a mean of five years follow up. The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed. |
Databáze: | OpenAIRE |
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