Craniopharyngioma in a patient with acromegaly due to a pituitary macroadenoma
Annals of Saudi Medicine. 2010; 30 (6): 485-488
in English
| IMEMR
| ID: emr-125720
ABSTRACT
We present the first reported case of a craniopharyngioma as a second primary tumor in a patient with acromegaly due to a growth hormone [GH]-secreting pituitary adenoma. The patient was lost for follow-up for 18 years after trans-sphenoidal pituitary surgery for a GH-secreting pituitary adenoma. She presented with headaches and decreased visual acuity, and showed unsuppressed GH in an oral glucose load test with high IGF-1 levels. Brain MRI showed a suprasellar cystic mass and the patient underwent surgery for cyst drainage resulting in postoperative improvement in her vision. Biopsy of the mass confirmed the diagnosis of a craniopharyngioma. We stress the need for close follow-up of patients with acromegaly with adequate control of GH and IGF-1 levels
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Pituitary Neoplasms
/
Acromegaly
/
Insulin-Like Growth Factor I
/
Magnetic Resonance Imaging
/
Visual Acuity
/
Adenoma
/
Growth Hormone-Secreting Pituitary Adenoma
/
Headache
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
Ann. Saudi Med.
Year:
2010
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