Unsuspected recurrent pituitary adenoma presenting as an orbital mass.

Abstract:

PURPOSE:Orbital invasion of pituitary tumors is rare and usually accompanied by optic nerve head pallor and visual loss. We describe a case of unilateral massive orbital invasion by a recurrent pituitary tumor with preserved visual acuity and normal optic nerve appearance. METHODS:Case report. RESULTS:Progressive proptosis developed 15 years after transphenoidal removal of a pituitary tumor. Based on the radiological appearance and the clinical history, the patient was suspected to have a sphenoid wing meningioma secondary to previous radiation treatment. A combined neurosurgical and orbital approach was used to remove the intraorbital mass, which extended from the cranial cavity through the superior orbital fissure and the optic canal. Histopathologic examination demonstrated a recurrent nonsecreting pituitary adenoma. CONCLUSIONS:Orbital extension of a recurrent pituitary adenoma should be considered in the differential diagnosis of progressive proptosis even in the absence of significant optic neuropathy.

authors

Bernardini FP,Kersten RC,Moin M,Kulwin DR

doi

10.1097/00002341-200103000-00014

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

140-3

issue

2

eissn

0740-9303

issn

1537-2677

journal_volume

17

pub_type

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