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Pituitary macroadenoma - into sphenoid sinus

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Hypopituitarism.

Patient Data

Age: Adult
Gender: Female

MRI pituitary

mri

MRI demonstrates a mass in the region of the pituitary with extension into sphenoid sinus and into right cavernous sinus, with encasement of the cavernous ICA, which does not appear narrowed. 

Case Discussion

This patient went on to a transphenoidal resection which confirmed a pituitary adenoma, null-cell type.

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