Collision Tumor in the Pituitary, Concurrent Pituitary Adenoma, and Craniopharyngioma.
Journal
Case reports in otolaryngology
ISSN: 2090-6765
Titre abrégé: Case Rep Otolaryngol
Pays: United States
ID NLM: 101576603
Informations de publication
Date de publication:
2020
2020
Historique:
received:
20
02
2020
revised:
01
09
2020
accepted:
02
09
2020
entrez:
23
9
2020
pubmed:
24
9
2020
medline:
24
9
2020
Statut:
epublish
Résumé
Collision tumors are two independent, distinct tumors occupying the same anatomical space. This case presents a pituitary adenoma-craniopharyngioma collision tumor presenting with hemianopsia. A 60-year-old with a past history of a nonsecretory pituitary adenoma presented with progressive headaches, bitemporal hemianopsia, and nausea. Previously, in 2008, his adenoma was effectively treated with nasal septal flap and transsphenoidal pituitary resection. A magnetic resonance imaging (MRI) was ordered for concern of recurrence, given his history and neurologic complaints. The MRI revealed a suprasellar mass extending into the third ventricle with displacement of the hypothalamus and optic chiasm. Laboratory testing revealed no indicators of endocrinopathy. The neurosurgical and otolaryngologic teams were elected to perform tumor resection given the ongoing symptoms. An image-guided transsphenoidal tumor resection with abdominal fat graft harvest and septal mucosal flap CSF leak repair was performed. Histopathological examination revealed two tumor components within the resection including an adamantinomatous craniopharyngioma and recurrent pituitary adenoma.
Identifiants
pubmed: 32963865
doi: 10.1155/2020/9584090
pmc: PMC7495153
doi:
Types de publication
Case Reports
Langues
eng
Pagination
9584090Informations de copyright
Copyright © 2020 Zaid Shareef et al.
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interest regarding the publication of this article.
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