摘要
异位垂体腺瘤在临床上较为罕见,本文报告1例蝶窦异位垂体腺瘤病例,总结其病例特点,并梳理其诊疗过程.54岁女性患者,因"体检发现鼻窦肿物1个月余,偶伴头胀,无头晕及头痛"就诊,影像学检查提示枕骨斜坡、双侧蝶窦内占位.患者于全身麻醉下行鼻内镜下经蝶窦脑病损切除术.术后病理提示为垂体神经内分泌肿瘤.术后恢复良好,无并发症,随访2个月,肿瘤未见复发.
Abstract
Ectopic pituitary adenoma is rare in clinical practice.This article reports a case of ectopic pituitary adenoma of sphenoid sinus,and summarizes the clinical characteristics,diagnosis and management.A 54-year-old female patient complaining with occasional head distension without dizziness and headache for more than 1 month was admitted due to sinus mass on conventional physical examination.Imaging examination revealed a mass in the occipital slope and bilateral sphenoid sinus.The patient underwent endoscopic resection of the mass under general anesthesia.Postoperative histopathological examination showed"pituitary neuroendocrine tumor".Postoperative recovery was good and no complications occurred.She was followed up for 2 months without relapse.
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