title: Phaeohyphomycosis: an unusual pituitary mass.
abstract: A 64-year-old Caucasian woman presented with left eye pain and a transient left oculomotor nerve palsy. Subsequent imaging revealed a mass involving the sphenoid sinus and sella with suprasellar extension. A trans-sphenoidal hypophysectomy was performed. Histopathology showed a fungal infection consistent with phaeohyphomycosis. Development of this lesion is probably attributed to allergic rhinitis and insulin-dependent diabetes mellitus. Intravenous amphotericin and itraconazole treatment resulted in full recovery and the patient remains well at 6-month postoperative follow-up.
authors.affiliation: Department of Neurosurgery, Hammersmith Hospital, UK.
authors.forename: I Y L
authors.initials: IY
authors.lastname: Yeung
authors.forename: B C
authors.initials: BC
authors.lastname: Whitelaw
authors.forename: T
authors.initials: T
authors.lastname: Hortobágyi
authors.forename: I
authors.initials: I
authors.lastname: Bódi
authors.forename: M A
authors.initials: MA
authors.lastname: Petrou
authors.forename: S E J
authors.initials: SE
authors.lastname: Connor
authors.forename: N W M
authors.initials: NW
authors.lastname: Thomas
mesh_terms: D020314:Central Nervous System Fungal Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007016:Hypophysectomy / Q000379:methods; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010900:Pituitary Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013101:Sphenoid Sinus / Q000473:pathology