[Ectopic pituitary adenoma associated with empty sella turcica]

Rev Esp Patol. 2019 Oct-Dec;52(4):256-259. doi: 10.1016/j.patol.2018.06.003. Epub 2018 Jul 25.
[Article in Spanish]

Abstract

Ectopic pituitary adenoma is a rare entity that is most commonly located in the sphenoid sinus. We report a case of a patient with ectopic pituitary adenoma with no functional expression associated with empty sella turcica, which gives rise to a broad differential diagnosis. Although it is a benign neoplasm, necrosis is encountered in a proportion of cases. Magnetic resonance imaging is the diagnostic method of choice for hypothalamic-pituitary-related endocrine diseases with endoscopic biopsy for histological confirmation. It is important to include pituitary markers in the immunohistochemical diagnostic panel.

Keywords: Adenoma hipofisario ectópico; Ectopic pituitary adenoma; Empty pituitary sella turcica; Silla turca vacía; Sphenoidal tumor; Tumor esfenoidal.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / chemistry
  • Adenoma / diagnostic imaging*
  • Adenoma / pathology
  • Adenoma / surgery
  • Adult
  • Biomarkers, Tumor / analysis
  • Choristoma / diagnostic imaging*
  • Choristoma / metabolism
  • Choristoma / pathology
  • Choristoma / surgery
  • Diagnosis, Differential
  • Diagnostic Errors
  • Empty Sella Syndrome / diagnostic imaging
  • Empty Sella Syndrome / etiology*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasm Proteins / analysis
  • Neuroendocrine Tumors / diagnosis
  • Osteolysis / etiology
  • Paranasal Sinus Neoplasms / chemistry
  • Paranasal Sinus Neoplasms / diagnostic imaging*
  • Paranasal Sinus Neoplasms / pathology
  • Paranasal Sinus Neoplasms / surgery
  • Pituitary Hormones, Anterior / analysis
  • Pituitary Neoplasms / chemistry
  • Pituitary Neoplasms / diagnostic imaging*
  • Pituitary Neoplasms / pathology
  • Pituitary Neoplasms / surgery
  • Sphenoid Sinus / chemistry
  • Sphenoid Sinus / diagnostic imaging*
  • Sphenoid Sinus / pathology
  • Sphenoid Sinus / surgery

Substances

  • Biomarkers, Tumor
  • Neoplasm Proteins
  • Pituitary Hormones, Anterior