title: Considering the Ectopic Pituitary Gland in Evaluation of the Nasopharyngeal Mass.
abstract: OBJECTIVE
  Extracranial pituitary ectopia is an uncommon finding characterized by all or a portion of the pituitary gland situated in an aberrant location. Often these lesions come to clinical attention only once they begin to function abnormally or increase in size significantly.
  
  
  METHODS
  We describe an incidentally noted, asymptomatic pedunculated nasopharyngeal lesion in a 13-month-old girl that may be an extracranial pituitary gland. Consideration of this rare anomaly cautioned against performing a biopsy and may have prevented inadvertent removal of functional pituitary tissue. We describe the embryologic origins of ectopic pituitary tissue, discuss the differential diagnosis for nasopharyngeal lesions in children, and emphasize physical and radiologic findings suggestive of ectopic pituitary tissue to prevent potential inadvertent removal of this rare anomaly.
  
  
  CONCLUSIONS
  We report this unusual case to review embryologic origins of ectopic pituitary tissue and to alert otolaryngologists of the need to consider ectopic pituitary tissue in the diagnosis of nasopharyngeal lesions in children.
authors.affiliation: Georgetown University School of Medicine, Washington, DC2now with Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.
authors.forename: Pedrom C
authors.initials: PC
authors.lastname: Sioshansi
authors.affiliation: Department of Radiology, Children's National Health System, George Washington University, Washington, DC.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Vezina
authors.affiliation: University of Oklahoma Health Sciences Center, Oklahoma City.
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Yaun
authors.affiliation: Division of Ophthalmology, Children's National Health System, George Washington University, Washington, DC.
authors.forename: Marijean M
authors.initials: MM
authors.lastname: Miller
authors.affiliation: Division of Otolaryngology, Children's National Health System, George Washington University, Washington, DC.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Bauman
mesh_terms: D002828:Choristoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D009302:Nasopharyngeal Diseases / Q000175:diagnosis*; D010902:Pituitary Gland