RESUMO
Concomitant pituitary adenomas and Rathke's cleft cysts (RCCs) are rare. These coexisting lesions are difficult to diagnose preoperatively due to their variable signal intensity on magnetic resonance imaging (MRI) and position of the RCC. We describe three cases of coexisting pituitary adenoma and RCC, and review the relevant literature. In our cases, the RCCs were relatively large and the en plaque adenomas appeared as enhanced cyst walls on MRI examination. We also report the clinical, radiologic, surgical, and histopathologic findings of each case.
Assuntos
Adenoma/cirurgia , Cistos do Sistema Nervoso Central/cirurgia , Neoplasias Primárias Múltiplas/cirurgia , Neoplasias Hipofisárias/cirurgia , Adenoma/diagnóstico por imagem , Adulto , Cistos do Sistema Nervoso Central/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Primárias Múltiplas/diagnóstico por imagem , Procedimentos Neurocirúrgicos , Neoplasias Hipofisárias/diagnóstico por imagem , Resultado do Tratamento , Adulto JovemRESUMO
In childhood and adolescence, pituitary adenomas are rare and half are prolactinomas. However, cystic giant prolactinoma in prepuberty is extremely rare. In this report, we present a 10-year-old boy with a cystic giant prolactinoma who was treated with two-stage surgery as the tumor was dumbbell shaped. To our knowledge, this is the second reported case of a cystic giant prolactinoma in a prepubertal child.
