title: [TSH pituitary adenoma: case report].
abstract: We describe a rare case of thyroid-stimulating hormone-secreting pituitary adenoma in a patient with a clinical picture of hyperthyroidism, that developed bitemporal hemianopsia after four years of a known thyroid dysfunction. CT scan showed a pituitary tumor considered grade 2 and stage C according to Hardy-Vezina and Wilson. Treatment was surgical, initially by a transsphenoidal approach, in which only a biopsy was possible. The patient was then submitted to an orbital-pterional craniotomy with sub-total resection of the tumor. Complementary treatment was indicated with radiotherapy.
authors.affiliation: Disciplina de Neurocirurgia, Universidade Federal de São Paulo, Brasil. detella.ncir@epm.br
authors.forename: Oswaldo Inácio
authors.initials: OI
authors.lastname: Tella
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Herculano
authors.forename: Rosana
authors.initials: R
authors.lastname: Delcello
authors.forename: Mirto Nelso
authors.initials: MN
authors.lastname: Prandini
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000601:surgery; D000328:Adult; D005260:Female; D006423:Hemianopsia / Q000175:diagnosis; D006801:Humans; D009363:Neoplasm Proteins / Q000378:metabolism*; D010911:Pituitary Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000601:surgery; D013972:Thyrotropin / Q000378:metabolism*; D014057:Tomography, X-Ray Computed
chemical_list: D009363:Neoplasm Proteins; D013972:Thyrotropin