• Neurol. Med. Chir. (Tokyo) · Jan 2012

    Case Reports

    Supra-diaphragmatic pituitary adenoma removed through the trans-tuberculum sellae approach. Case report.

    • Yasuyuki Kinoshita, Atsushi Tominaga, Kazunori Arita, Seiji Hama, Tetsuhiko Sakoguchi, Kazuhiko Sugiyama, and Kaoru Kurisu.
    • Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan.
    • Neurol. Med. Chir. (Tokyo). 2012 Jan 1; 52 (2): 91-5.

    AbstractA 59-year-old woman presented with a rare supra-diaphragmatic pituitary adenoma manifesting as a mass lesion. Her baseline data and the response of anterior pituitary hormones to the provocation test were within the normal range. Magnetic resonance imaging showed a homogeneously enhanced tumor located on the diaphragma sellae. The tumor was totally removed by the endonasal trans-tuberculum sellae approach under combined microscopic and endoscopic observation. Her postoperative course was uneventful and the histological diagnosis was pituitary adenoma located in the suprasellar region. The trans-tuberculum sellae approach is a less invasive method to remove pituitary adenoma located in the suprasellar region.

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