Pituitary Macroadenoma and Adamantinomatous Craniopharyngioma: A Rare Case Report of Sellar Collision Tumors.

Abstract

We present a rare case of a collision tumor involving a pituitary macroadenoma and adamantinomatous craniopharyngioma in a 49-year-old woman. The patient presented with a 2-year history of amenorrhea and elevated prolactin. Brain MRI revealed two sellar masses. Initially managed with observation due to the absence of neurological deficits, surgical resection was later performed after clinical and radiographic progression. Pathology confirmed both tumor types: pituitary macroadenoma and adamantinomatous craniopharyngioma. Postoperative MRI showed residual disease at the superior margin. The patient subsequently received fractionated stereotactic radiation for residual disease and tolerated well.