[Idiopathic giant cell granulomas of the pituitary gland. Apropos of 2 cases].
Two cases are reported of two women who had developed progressive hypopituitarism without visual disturbances. Pituitary tumors were evoked by radiological findings. The patients underwent surgical removal of invasive intrasellar tumor by transphenoidal route. Giant-cell granuloma was histologically demonstrated with negative special staining for tuberculosis acid-fast bacilli, bacteria and fungi. Secondary granuloma due to tuberculosis, brucellosis or neurosarcoidosis was ruled out by serological grounds. The prognosis was discusses through a follow-up of 7 years in the first case and 7 months in the second one. The appropriately documented 31 cases collected from the literature were compared with our two cases.
Service de Neurochirurgie A, Hôpital Neurologique, Lyon.
E
E
Bachour
G
G
Perrin
D
D
Ciriano
J
J
Trouillas
G
G
Sassolas
M
M
Tommasi
A
A
Goutelle
D000328:Adult; D005260:Female; D006101:Granuloma, Giant Cell / Q000473:pathology*; D006801:Humans; D010900:Pituitary Diseases / Q000473:pathology*; D013997:Time Factors
Les granulomes idiopathiques à cellules géantes de l'hypophyse. A propos de 2 cas.