A pharyngeal and ectopic hypophysis in a neonate with craniofacial abnormalities: a case report and review of development and structure.
OBJECTIVE
A large excrescence was found bulging from the mucoperiosteum of the nasopharynx in a neonate displaying abnormal craniofacial features. The aim of this study was to determine the nature of this tissue mass.


METHODS
Histological examination of this mass of tissue and the surrounding nasopharyngeal mucosal tissue, as well as tissue located in the sella turcica of the sphenoid bone, were carried out. In addition, tissue in a canal connecting the large mass to the sella turcica was removed for analysis.


RESULTS
Nervous elements and adenohypophyseal tissue were histologically identified in the large excrescence, but were separate from adenohypophyseal tissue of the pharyngeal hypophysis. Both structures were located in the mucoperiosteum of the nasopharynx.


CONCLUSIONS
The large tissue mass found in the nasopharynx is histologically identical to a sellar hypophyseal gland, but differed from the adjacent pharyngeal hypophysis in histological composition. The mass, although sellar in nature, however, was placed ectopically in the nasopharynx and is hence termed pharyngosellar to indicate its abnormal position, as well as its origin.
Osman
Mohseena
M
Embryonic Development and Differentiation Research Programme, School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Allan
J C
JC
Kramer
Beverley
B
D002102:Cadaver; D002828:Choristoma / Q000150:complications* / Q000473:pathology; D019465:Craniofacial Abnormalities / Q000150:complications*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009092:Mucous Membrane / Q000473:pathology; D009305:Nasopharynx / Q000473:pathology; D010521:Periosteum / Q000473:pathology; D010608:Pharyngeal Diseases / Q000150:complications* / Q000473:pathology; D010902:Pituitary Gland; D012658:Sella Turcica / Q000473:pathology; D013100:Sphenoid Bone / Q000473:pathology