Endoscopic transsphenoidal resection of a non-functioning ectopic pituitary adenoma located in the clivus: a case report and literature review

IF 0.7 Q4 CLINICAL NEUROLOGY
Jiangang Liu, Chengyuan Ji
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引用次数: 0

Abstract

We successfully removed a rare ectopic pituitary adenoma from a 64-year-old female patient initially misdiagnosed with a chordoma. The tumor was located in the slope region and posed a challenge due to its rarity and location. Using neuro-navigation and neuro-endoscopic techniques, we performed a transnasal transsphenoidal resection and confirmed postoperatively that the tumor was a non-functional pituitary adenoma. Although the patient experienced temporary cortisol deficiency after surgery, she recovered well. To accurately diagnose ectopic pituitary adenomas of clivus, doctors must carefully evaluate the patient's imaging results and hormone levels. If necessary, nuclear medicine scans can also aid in diagnosis. Endoscopic transnasal-transsphenoidal surgery is the preferred treatment method, and preoperative multimodal imaging evaluation and intraoperative neuro-navigation technology are essential for a successful surgery.
经蝶窦内镜切除斜坡无功能异位垂体腺瘤1例报告及文献复习
我们成功地切除了一个罕见的异位垂体腺瘤从一个64岁的女性患者最初误诊为脊索瘤。肿瘤位于斜坡区,由于其罕见和位置,对治疗构成了挑战。使用神经导航和神经内窥镜技术,我们进行了经鼻经蝶窦切除术,术后证实肿瘤为无功能垂体腺瘤。虽然患者术后出现暂时性皮质醇缺乏,但恢复良好。为了准确诊断斜坡异位垂体腺瘤,医生必须仔细评估患者的影像学结果和激素水平。必要时,核医学扫描也可以帮助诊断。内镜下经鼻-蝶窦手术是首选的治疗方法,术前多模态成像评估和术中神经导航技术是手术成功的关键。
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