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A Case of Atypical Pituitary Macro Adenoma

Authors: Rambharat Bairwa,; G S Rai;

A Case of Atypical Pituitary Macro Adenoma

Abstract

{"references": ["1. Elster AD. Imaging of the sella: Anatomy and pathology. Semin Ultrasound CT MR. 1993;14(3): 182\u201394. 2. Ezzat S, Asa SL, Couldwell WT, Barr CE, Dodge WE, Vance ML, et al. The prevalence of pituitary adenomas: A systematic review. Cancer. 2004;101:613-9. 3. Asa SL. Tumors of the Pituitary Gland. American Registry of Pathology in collaboration with the Armed Forces Institute of Pathology , AFIP, Washington DC. 2011;1:275.. 4. Soni BK, Joish UK, Sahni H, George RA, Sivasankar R, Aggarwal R. A Comparative Study of Pituitary Volume Variations in MRI in Acute Onset of Psychiatric Conditions. J Clin Diagn Res. 2017. 11(2): TC01\u2013TC04.doi: 10.7860/JCDR/2017/23585.9330 5. Marguth F, Oeckler R. Recurrent pituitary adenomas. Neurosurg Rev. 1985;8:221\u2013224. 6. Saeger W, Ludecke DK, Buchfelder M, Fahlbusch R, Quabbe HJ, Petersen S. Pathological classification of pituitary tumours: 10 years of experience with the German Pituitary Registry. Eur J Endocrinol. 2007;156:203\u201316. 7. Tripathi KD. Treatment of hyperprolactinoma : th Guideline, 8 Edn.: New Delhi. 2019;pp:261-62."]}

We report a case of 17 years old male with chief complaints of severe right hemi cranial headache since 3 days for which he seeks advice from local doctor, but did not get relief. Patient also has short height and markedly decreased vision since last 6 weeks. Patient under gone for MRI brain with contrast revealed a large “figure of 8” markedly enhancing sellar mass with suprasellar and right para sellar extension s/o atypical pituitary macro adenoma. Markedly raised Serum prolactin (470ng/ml) and mildly reduced FSH & LH were noted.

Keywords

atypical pituitary macro adenoma, micro-adenomas, panhypopituitarism, pituitary apoplexy, prolactinoma, atypical pituitary macro adenoma, micro-adenomas, panhypopituitarism, pituitary apoplexy, prolactinoma

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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
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