title: Transsphenoidal therapeutic puncture of a cystic pituitary adenoma.
abstract: Transsphenoidal diagnostic puncture of skull base tumours has been a routine procedure in Uppsala for a decade. Bromocriptine is the treatment of choice for patients with prolactin secreting pituitary adenomas. Here we report on a patient with a pituitary adenoma who instead developed an increase in tumour size after bromocriptine treatment. Magnetic resonance imaging showed the tumor to be cystic. A transsphenoidal puncture was used therapeutically instead of surgery with excellent result.
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013396:Suction