Total capsular calcification in a prolactinoma--case report.
A 42-year-old male presented with a prolactin-producing pituitary adenoma with an atypical radiological appearance. The tumor was incidentally found by magnetic resonance imaging, which demonstrated a cystic tumor in the enlarged and partially empty sella turcica. Computed tomography revealed the tumor was surrounded by calcification with an egg-shell appearance. The serum prolactin level was 37 ng/ml. The operative finding was a calcified shell-containing cystic tumor. Immunohistochemical staining revealed prolactin-positive cells. The combination of the unusual calcification, and enlarged and partially empty sella was considered to be a sequela of spontaneous degeneration of the tumor.
Horiuchi
T
T
Department of Neurosurgery, Suwa Red Cross Hospital, Nagano, Japan.
Tanaka
Y
Y
Kobayashi
S
S
Yokoh
A
A
Unoki
T
T
D000328:Adult; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology*; D004652:Empty Sella Syndrome / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007006:Hypogonadism / Q000209:etiology; D008297:Male; D010899:Pituitary Apoplexy / Q000150:complications / Q000473:pathology; D010911:Pituitary Neoplasms / Q000098:blood supply / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D015175:Prolactinoma / Q000098:blood supply / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed