Rapidly-growing ectopic pituitary adenoma within the sphenoid sinus--case report.
A 75-year-old male with left abducens nerve paresis presented with an ectopic pituitary adenoma invading the posterior wall of the sphenoid sinus. The sphenoidal mass grew rapidly for 6 months with left ophthalmoplegia and was partially removed via the transsphenoidal approach. The histological examination showed a benign pituitary adenoma, but the MIB-1 proliferating cell index was 6.8%, reflecting the clinically malignant behavior. The symptom gradually improved without tumor regrowth over 1.5 years after conventional irradiation.
Horiuchi
T
T
Department of Neurosurgery, Shinshu University School of Medicine, Nagano.
Tanaka
Y
Y
Kobayashi
S
S
Unoki
T
T
Yokoh
A
A
D000236:Adenoma / Q000473:pathology* / Q000628:therapy; D000368:Aged; D002828:Choristoma / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D010911:Pituitary Neoplasms / Q000473:pathology* / Q000628:therapy; D013101:Sphenoid Sinus