Coincident pituitary adenoma and sellar meningioma
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Although pituitary adenomas are usually the first diagnosis considered for lesions of the sellar and suprasellar region, other presenting lesions can include benign lesions, malignant tumors, aneurysms, pituitary hyperplasia, infections, and cysts . Despite these diverse possibilities, the consideration of coincident tumors in the sellar region has been rare and poorly understood.
We describe the case of a previously healthy, 70-year-old woman who had the concurrence of a pituitary adenoma and a sellar meningioma. She presented to an outside hospital with altered mental status, mutism, and incontinence. Imaging showed a pituitary mass and significant hydrocephalus, which prompted placement of an external ventricular drain and transfer to our institution for further management. The patient’s family had noted a gradual decrease in mental status and increased confusion during the previous 18 months. Evaluation of her pituitary laboratory results suggested she had a...
KeywordsMeningioma Luteinizing Hormone Pituitary Adenoma Medulloblastoma Chordoma
The authors thank Kristin Kraus, MSc, for editorial assistance with this paper.
Conflicts of interest
The next of kin has consented to use of the case and images.