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Washington University Experience | NEOPLASM (SELLAR) | Pituitary Adenoma - Pituitary Neuroendocrine Neoplasm | Plurihormonal | 1A0 Case 1 History
Case 1 History ---- 1A0 The patient was a 30 year old female who initially presented with difficulty lactating in 2009. MRI imaging at that time showed a 3 mm pituitary adenoma. In 2012 she had increased growth hormone levels measured in her serum. She recently noticed increasing shoe and finger size and was no longer able to wear a previously fitting ring. She had generalized aching in all joints and bones. Physical examination did not show obvious facial stigmata of acromegaly. Nonetheless, repeat MRI in January 2014 and development of an elevated GH level as well as IGF-1 at 437 (upper limit of normal, 373) suggested the possible need for surgical intervention. MRI in January 2015 showed a 3 mm non-enhancing lesion in the pituitary gland abutting, but not invading, the cavernous sinus. Operative procedure: Endoscopic transsphenoidal hypophysectomy and resection of the pituitary tumor with IMRI.
