title: Supra-diaphragmatic pituitary adenoma removed through the trans-tuberculum sellae approach. Case report.
abstract: A 59-year-old woman presented with a rare supra-diaphragmatic pituitary adenoma manifesting as a mass lesion. Her baseline data and the response of anterior pituitary hormones to the provocation test were within the normal range. Magnetic resonance imaging showed a homogeneously enhanced tumor located on the diaphragma sellae. The tumor was totally removed by the endonasal trans-tuberculum sellae approach under combined microscopic and endoscopic observation. Her postoperative course was uneventful and the histological diagnosis was pituitary adenoma located in the suprasellar region. The trans-tuberculum sellae approach is a less invasive method to remove pituitary adenoma located in the suprasellar region.
authors.affiliation: Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tominaga
authors.forename: Kazunori
authors.initials: K
authors.lastname: Arita
authors.forename: Seiji
authors.initials: S
authors.lastname: Hama
authors.forename: Tetsuhiko
authors.initials: T
authors.lastname: Sakoguchi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kurisu
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D035301:Cranial Fossa, Middle / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D004388:Dura Mater / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery; D044583:Neuroendoscopy / Q000379:methods*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery*; D013100:Sphenoid Bone / Q000601:surgery*; D016896:Treatment Outcome