뇌하수체 거대선종으로 오인된 안장가로막 뇌수막종과 뇌하수체 선종 1례

• 영문명: A Synchronous Pituitary Adenoma and a Diaphragm Sellae Meningioma in Same Patient Mimicking a Pituitary Macroadenoma : Case Report
• 발행기관: 대한두개저학회
• 저자명: 오정태(Jung Tae Oh) 정승영(Seung Young Chung) 김승민(Seong Min Kim) 박문선(Moon Sun Park) 정성삼(Sung Sam Jung) 박기석(Ki Suk Park)
• 간행물 정보: 『대한두개저학회지』제4권 제1호, 29~33쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

The coexistence of a pituitary adenoma and another intracranial tumor is an uncommon finding. We report a rare case of diaphragm sellae meningioma and pituitary adenoma mimicking pituitary macroadenoma in a 41-year-old woman. The patient presented with bitemporal hemianopsia and was pregnant. Magnetic resonance imaging demonstrated a bright, homogeneously enhancing intra- and suprasellar mass, which was interpreted as a pituitary macroadenoma. Transsphenoidal extirpation was used on 1st operation and Orbitozygomatic craniotomy(transcavernous approach) was done on 2nd operarion because of a suspicion of nonsecreting pituitary macroadenoma. Histopathologically, the tumor was diagnosed as a pituitary adnoma and a meningothelial meningioma. Common carotid angiography before the second surgery revealed that the mass was supplied by the left opthalmic artery. The tumor was near-totally removed via a transcranial route, and she had lost her left vision after a second surgical procedure. It is difficult to make a differential diagnosis between nonsecreting pituitary macroadenomas with suprasellar extension and diaphragma sellae meningiomas preoperatively from the viewpoint of neuroimaging. Preoperative differentiation is essential, because the transsphenoidal approach is used for surgical removal of adenomas, while meningiomas are approached via a craniotomy.

목차

Introduction

Case Report

Discussion

키워드

Pituitary adenoma Diaphragm sellae meningioma Magnetic resonance imaging