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'Coexisting Pituitary Adenoma and Suprasellar Meningioma - a Coincidence or Causation Effect: Report of Two Cases and Review of the Literature' Publisher



Amirjamshidi A1 ; Mortazavi SA1 ; Shirani M1 ; Saeedinia S1 ; Hanif H1
Authors
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Authors Affiliations
  1. 1. Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran

Source: Journal of Surgical Case Reports Published:2017


Abstract

Coexistence of pituitary adenoma (PA) and another type of brain tumor is a very rare clinical scenario. Even though such a presentation can be an incidental event but a thorough review of the literature will be made to elucidate the possible mechanisms and treatment options in similar cases. Two cases of concomitant sellar and suprasellar/diaphragmatic tumors are reported. A 37-year-old lady with prolactinoma and a suprasellar diaphragmatic meningioma and a 42-year-old acromegalic man with suprasellar/diaphragmatic meningioma and a PA. Both meningiomas were removed transcranially. The prolactinoma could be managed medically and the growth hormone secreting adenoma was removed trans-sphenoidally. The visual problems and hormonal imbalances of both patients improved postoperatively. The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed. © 2017 Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved.