Co-occurrence of Pituitary Adenoma with Suprasellar and Olfactory Groove Meningiomas

نویسندگان

  • Kai-Zheong Lim
  • Tony Goldschlager
  • Ronil V. Chandra
  • Jonathan Hall
  • Brent Uren
  • Michael Pullar
چکیده

INTRODUCTION The co-existence of pituitary adenoma and meningioma is extremely rare. It is even rarer in patients with no previous known risk factors for either tumour. Here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. METHODS The tumours were diagnosed on MRI in the 65-year-old patient who presented with patchy visual deficits. The decision was made to undergo surgery for resection of the suprasellar meningioma and the pituitary adenoma, leaving the small olfactory groove meningioma intact. Extended endoscopic transsphenoidal surgery was performed. RESULTS Macroscopic clearance was achieved for pituitary macroadenoma and suprasellar meningioma. Postoperatively, visual field tsting and pituitary axis hormonal levels were normal. The pituitary macroadenoma was confirmed to be a non-functioning pituitary adenoma. The meningioma was diagnosed to be of WHO grade 1. CONCLUSION The rationale for choosing such management option, including its risks and benefits in this challenging patient is discussed.

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Commentary on “Co-Occurrence of Pituitary Adenoma With Suprasellar and Olfactory Groove Meningiomas”

Recently, Basic and Clinical Neuroscience published an article by Lim et al. (2016)  entitled Co-occurence of Pituitary Adenoma with Suprasellar and Olfactory Groove Meningiomas. They claimed it as the first case of co-occurence of these two malignancies. However, to our knowledge, this is not the first case reported in this regard. We reported the same case scenario in a 61-year-old woman...

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عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2016