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Acromegaly due to an ectopic pituitary adenoma in the sphenoid sinus.
Acta Radiol. 2004 Oct; 45(6):689-91.AR

Abstract

An ectopic pituitary adenoma, exclusively involving the sphenoid sinus, associated with a normal size pituitary gland and an empty sella is a rare clinical entity. Only four cases have been found in the literature. We describe the case of a 47-year-old woman with clinical and biochemical acromegaly. Computed tomography (CT) appeared to show expansion of the sellar floor inferiorly into the sphenoid sinus, and magnetic resonance imaging (MRI) demonstrated an empty sella and a mass lesion confined to the sphenoid sinus. The tumor was totally resected by taking a transnasal endoscopic approach and the dura mater of the base of the pituitary fossa was confirmed intact.

Authors+Show Affiliations

Gondim JA
Neurosurgical Department, Hospital Geral de Fortaleza, Ce., Brazil. jagondim@secrel.com.br
Schops M
No affiliation info available
Ferreira E
No affiliation info available
Bulcão T
No affiliation info available
Mota JI
No affiliation info available
Silveira C
No affiliation info available

MeSH

AcromegalyAdenomaChoristomaEmpty Sella SyndromeFemaleHuman Growth HormoneHumansMagnetic Resonance ImagingMiddle AgedParanasal Sinus NeoplasmsPituitary NeoplasmsSphenoid SinusTomography, X-Ray Computed

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15587430

Citation

Gondim, J A., et al. "Acromegaly Due to an Ectopic Pituitary Adenoma in the Sphenoid Sinus." Acta Radiologica (Stockholm, Sweden : 1987), vol. 45, no. 6, 2004, pp. 689-91.
Gondim JA, Schops M, Ferreira E, et al. Acromegaly due to an ectopic pituitary adenoma in the sphenoid sinus. Acta Radiol. 2004;45(6):689-91.
Gondim, J. A., Schops, M., Ferreira, E., Bulcão, T., Mota, J. I., & Silveira, C. (2004). Acromegaly due to an ectopic pituitary adenoma in the sphenoid sinus. Acta Radiologica (Stockholm, Sweden : 1987), 45(6), 689-91.
Gondim JA, et al. Acromegaly Due to an Ectopic Pituitary Adenoma in the Sphenoid Sinus. Acta Radiol. 2004;45(6):689-91. PubMed PMID: 15587430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acromegaly due to an ectopic pituitary adenoma in the sphenoid sinus. AU - Gondim,J A, AU - Schops,M, AU - Ferreira,E, AU - Bulcão,T, AU - Mota,J I, AU - Silveira,C, PY - 2004/12/14/pubmed PY - 2005/2/3/medline PY - 2004/12/14/entrez SP - 689 EP - 91 JF - Acta radiologica (Stockholm, Sweden : 1987) JO - Acta Radiol VL - 45 IS - 6 N2 - An ectopic pituitary adenoma, exclusively involving the sphenoid sinus, associated with a normal size pituitary gland and an empty sella is a rare clinical entity. Only four cases have been found in the literature. We describe the case of a 47-year-old woman with clinical and biochemical acromegaly. Computed tomography (CT) appeared to show expansion of the sellar floor inferiorly into the sphenoid sinus, and magnetic resonance imaging (MRI) demonstrated an empty sella and a mass lesion confined to the sphenoid sinus. The tumor was totally resected by taking a transnasal endoscopic approach and the dura mater of the base of the pituitary fossa was confirmed intact. SN - 0284-1851 UR - https://www.unboundmedicine.com/medline/citation/15587430/Acromegaly_due_to_an_ectopic_pituitary_adenoma_in_the_sphenoid_sinus_ DB - PRIME DP - Unbound Medicine ER -