Malignant Growth Hormone-secreting Pituitary Adenoma with Hematogenous Dural Metastasis: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 22 (6P1-P2) ◽  
pp. 1091-1094 ◽  
Author(s):  
Akio Asai ◽  
Masao Matsutani ◽  
Nobuaki Funada ◽  
Kintomo Takakura

Abstract A rare case of growth hormone-secreting pituitary adenoma with hematogenous metastasis to the dura mater of the cerebral convexity is presented. Immunohistological staining was essential to the diagnosis. The histological findings demonstrated that the metastasis was blood-borne. Extensive removal of the tumor and postoperative chemotherapy resulted in partial remission. The mechanism of metastasis, the histological findings, the treatment, and the prognosis are discussed.

Neurosurgery ◽  
1988 ◽  
Vol 22 (6 Pt 1) ◽  
pp. 1091???4 ◽  
Author(s):  
A Asai ◽  
M Matsutani ◽  
N Funada ◽  
K Takakura

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Subramanian Kannan ◽  
Susan M. Staugaitis ◽  
Robert J. Weil ◽  
Betul Hatipoglu

Pituitary adenomas can express and secrete different hormones. Expression of pituitary hormones in nonneoplastic pituitary cells is regulated by different transcription factors. Some pituitary adenomas show plurihormonal expression. The most commonly reported plurihormonal adenomas are composed of somatotrophs, lactotrophs, thyrotrophs and gonadotrophs. Pituitary adenomas composed of both corticotroph and somatolactotroph secreting cells are not common because transcription factors regulating the expression of these hormones are different. We report a rare case of pituitary adenoma with concomitant corticotroph, prolactin, and growth hormone staining cells, review literature on similar cases, and discuss possible biological mechanisms underlying these plurihormonal tumors.


2019 ◽  
Vol 6 (5) ◽  
pp. 1684
Author(s):  
Banupriya M. ◽  
Jagadeesan M. ◽  
Mariraj I. ◽  
Prasanna Karthik S. ◽  
Padmalatha D. ◽  
...  

Pitutary adenomas are one of the commonest tumors of seller region of which prolactinomas and non- functioning adenomas predominate. The usual presentation are symptoms of endocrine dysfunction and mass effects. We present a case report of 37 year old male presenting with frontal headache and vomiting. Clinical observations revealed frontal bossing with enlarged hands and feet which arose a suspicion of Acromegaly. Investigations revealed elevated IGF 1 (insulin like growth factor) and growth hormone levels. Magnetic resonance image of the brain were done which showed pituitary adenoma. This case highlights the importance of clinical examination and the treating physician must have high clinical index of suspicion to detect endocrine dysfunction and use the modern techniques like stereotactic radio surgery (SRS).


2021 ◽  
Author(s):  
Shruthi Ravindra ◽  
Sahana Shetty ◽  
Lakshmi Prasad ◽  
Raghavendra Nayak

Author(s):  
Malgorzata Trofimiuk-Muldner ◽  
Bartosz Domagała ◽  
Lukasz Kluczynski ◽  
Grzegorz Sokolowski ◽  
Grzegorz Zielinski ◽  
...  

2003 ◽  
Vol 43 (7) ◽  
pp. 356-359 ◽  
Author(s):  
Kazutaka UCHIDA ◽  
Yoshiki ARAKAWA ◽  
Kenji OHYAMA ◽  
Manabu SIRAKAWA ◽  
Rie TSUJI ◽  
...  

Neurosurgery ◽  
1985 ◽  
Vol 17 (4) ◽  
pp. 657-659 ◽  
Author(s):  
Steven E. Swanson ◽  
William F. Chandler ◽  
Joseph Latack ◽  
Katerina Zis

Abstract A rare case of a pituitary adenoma found in association with a symptomatic Rathke's cleft cyst in a 34-year-old woman presenting with headaches, visual symptoms, and amenorrhea is described. The diagnostic evaluation and operative treatment of these coincident lesions are discussed.


2021 ◽  
Vol 8 (5) ◽  
pp. 944
Author(s):  
Thanuja B. ◽  
Ashok V. Puttappanavar ◽  
Meghana Narasimhegowda ◽  
Namratha K. B. ◽  
Prashanth S.

Recurrent hypoglycemia in childhood may be caused by various endocrine or metabolic disorders, of which growth hormone deficiency is a rare cause. A 5-year-old girl presented to us with short stature and recurrent episodes of hypoglycemic seizures. On evaluating for the same, critical sample showed normal cortisol and low c-peptide levels. Neuroimaging ruled out pituitary anomalies. Growth hormone deficiency was diagnosed after GH stimulation test (with clonidine and insulin) revealed low basal and post-stimulation values. Following GH supplementation, no further hypoglycemia was noted. This rare case is being reported to highlight the importance of treating the underlying etiology of hypoglycemia to prevent adverse neurological outcome.


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