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Type: Outros documentos
Title: Pituitary macroadenoma presenting as a nasal tumor: case report
Title Alternative: Macroadenoma hipofisário, apresentando-se como um tumor nasal: relato de caso
Author: Silva Junior, Nivaldo Adolfo
Reis, Fabiano
Miura, Larissa Kaori
Vieira, Guilherme Henrique
Queiroz, Luciano Souza
Garmes, Heraldo Mendes
Benetti-Pinto, Cristina Laguna
Abstract: CONTEXT: Pituitary macroadenomas are rare intracranial tumors. In a few cases, they may present aggressive behavior and invade the sphenoid sinus and nasal cavity, causing unusual symptoms. In this paper, we report an atypical case of pituitary adenoma presenting as a nasal mass.CASE REPORT: The patient was a 44-year-old woman who had had amenorrhea and galactorrhea for ten months, with associated nasal obstruction, macroglossia and acromegaly. Both growth hormone and prolactin levels were increased. Magnetic resonance imaging showed a large mass originating from the lower surface of the pituitary gland, associated with sella turcica erosion and tumor extension through the sphenoid sinus and nasal cavity. Histopathological analysis demonstrated a chromophobe pituitary adenoma with densely packed rounded epithelial cells, with some atypias and rare mitotic figures. There was no evidence of metastases.CONCLUSION: Macroadenoma invading the nasal cavity is a rare condition and few similar cases have been reported in the literature. This study contributes towards showing that tumor extension to the sphenoid sinus and nasopharynx needs to be considered and investigated in order to make an early diagnosis when atypical symptoms like nasal obstruction are present.
Macroadenomas hipofisários são tumores intracraniais raros. Em alguns casos, podem apresentar comportamento agressivo e invadir o seio esfenoidal e a cavidade nasal, causando sintomas não usuais. Neste relato de caso, descrevemos um caso atípico de adenom
Subject: Neoplasias hipofisárias
Cavidade nasal
Country: Brasil
Editor: Associação Paulista de Medicina
Citation: Sao Paulo Medical Journal. Associacao Paulista De Medicina, v. 132, n. 6, p. 373 - 377, 2014.
Rights: Aberto
Identifier DOI: 10.1590/1516-3180-2014-1326693
Date Issue: 2014
Appears in Collections:FCM - Artigos e Outros Documentos
HC - Artigos e Outros Documentos

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