An exceptional presentation of pituicytoma apoplexy: A case report.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_5F9D639CF6E9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
An exceptional presentation of pituicytoma apoplexy: A case report.
Périodique
Oncology letters
Auteur⸱e⸱s
Cossu G., Dimitriou J., Brouland J.P., Daniel R.T., Messerer M.
ISSN
1792-1074 (Print)
ISSN-L
1792-1074
Statut éditorial
Publié
Date de publication
07/2018
Peer-reviewed
Oui
Volume
16
Numéro
1
Pages
643-647
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Pituicytomas are a rare form of indolent neoplasms, which typically present with visual disturbance and hypopituitarism. Complete resection by a trans-sphenoidal approach is the optimal treatment. Only 80 cases have been described thus far in the current literature and the present case is the first to describe the development of pituitary apoplexy in the context of a pituicytoma. A 77-year-old man presented with fatigue and clinical signs of hypogonadism and a sellar lesion was diagnosed at cerebral magnetic resonance imaging (MRI). A watch-and-wait management was initially decided and 1 year after the initial diagnosis, he presented with a thunderclap headache with images suggestive of pituitary apoplexy. A pituitary adenoma was suspected and an endoscopic resection was decided upon the development of a visual deficit. Pathological analysis established the correct diagnosis of a pituicytoma. Pituicytomas are characterised by dense vascularisation, thus ischaemic and haemorrhagic events may be common. When confronted with a hypervascularised pituitary lesion demonstrating strong contrast enhancement and no abnormal hormonal secretion, one must maintain a high index of suspicion for a pituicytoma. A wide range of differential diagnoses should thus be considered in the context of pituitary apoplexy.
Mots-clé
apoplexy, endoscopy, pituicytoma, pituitary
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/06/2018 9:16
Dernière modification de la notice
26/03/2020 19:55
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