Masa selar, no siempre un adenoma: presentación de 3 casos clínicos

Noelia Barrera Olarte, Romina Esparza, Cecilia Hurtado, Nicole Lemaitre, Mariela Luna, Ronaldo Oliszewski, Mariel Soto, Teresa Torrado
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Abstract

Pituitary abscess is due to a severe and uncommon infection in the sella. It is difficult to diagnose due to varied and non-specific symptoms. A report is presented of 3 cases of pituitary abscess, which had the presence of pre-existing injuries in common. All were subjected to surgery, with aseptic abscesses found in 2 patients, and Aspergillus capsulatum was isolated in 1 patient. They showed good progress with medical treatment, but with sequelae of hypopituitarism. It is very important to consider the pituitary abscess in the differential diagnosis of the masses that are located in that region, as a timely diagnosis and proper treatment can be important for the prognosis of these patients.

闭塞肿块,并不总是腺瘤:3例临床病例的呈现
垂体脓肿是由于严重和罕见的感染在鞍。由于症状多样且非特异性,难以诊断。一个报告是提出了3例垂体脓肿,其中有预先存在的伤害共同存在。所有患者均接受手术治疗,其中2例发现无菌性脓肿,1例分离到荚膜曲霉。经药物治疗,病情好转,但仍有垂体功能减退的后遗症。垂体脓肿在垂体脓肿区肿块的鉴别诊断中十分重要,及时诊断和适当治疗对垂体脓肿患者的预后至关重要。
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