Summary
This is a rare case of synchronous pituitary adenoma and PNET in an adult and first of this sort in the literature. The MR appearances suggest a single pathological entity causing the changes in the different anatomical location which can occur in cases of germ cell tumours, PNET and glioblastoma. In certain cases, histological confirmation may be warranted for the different lesions. Both pathologies have different treatment strategy and outlook depending on the age, extent of the disease and Karnofsky score.
This is a preview of subscription content, log in via an institution to check access.
References
G Butti MT Giordana P Paoletti D Schiffer (1982) ArticleTitleMultiple primary intracranial tumours of different cell types: association of anaplastic astrocytoma and acoustic neuroma – with literature review Surg Neurol 18 336–342 Occurrence Handle7179095 Occurrence Handle10.1016/0090-3019(82)90144-6 Occurrence Handle1:STN:280:DyaL3s%2FptlCrtg%3D%3D
R Gaudio A Cimmino E Pierangeli M Occhiogrosso (1988) ArticleTitleTwo meningiomas and an astrocytoma of the third ventricle in the same patient. Report of a case with review of the literature J Neurosurg Sci 32 IssueID4 183–188 Occurrence Handle3244040 Occurrence Handle1:STN:280:DyaL1M3hs1Sgsg%3D%3D
P Kan O Gottfried DT Blumenthal JJ Townsend E Drozd-Borysiuk AR Brothman RL Jensen (2004) ArticleTitleOligodendroglioma and juvenile pilocytic astrocytoma presenting as synchronous primary brain tumour J Neurosurg 100 700–705 Occurrence Handle15070126 Occurrence Handle10.3171/jns.2004.100.4.0700
F Ildan H Bağdatoğlu B Boyar S Haciyakupoğlu G Gönlüşen N Tunali (1995) ArticleTitleCombined occurrence of primary cerebral lymphoma and meningioma Neurosurg Rev 18 IssueID1 45–48 Occurrence Handle7566529 Occurrence Handle10.1007/BF00416477 Occurrence Handle1:STN:280:DyaK28%2FktVWksA%3D%3D
DM Prevedello A Thomas P Gardner CH Snyderman RL Carrau AB Kassam (2007) ArticleTitleEndoscopic endonasal resection of a synchronous pituitary adenoma and a tuberculum sellae meningioma: technical case report Neurosurgery 60 IssueID4 Suppl 2 E401 Occurrence Handle17415151 Occurrence Handle10.1227/01.NEU.0000255359.94571.91
K Prabhash KG Babu S Balu C Haritha PP Bapsy (2003) ArticleTitleHodgkin’s disease and pilocytic astrocytoma – a synchronous presentation J Assoc Physicians India 51 833–834 Occurrence Handle14651156 Occurrence Handle1:STN:280:DC%2BD3srmtlCrsw%3D%3D
M Rotondo C Parlato DC Zotta A Moraci (1990) ArticleTitleSimultaneous multiple brain tumors of different histological nature. Report of two cases J Neurosurg Sci 34 IssueID1 57–60 Occurrence Handle2401915 Occurrence Handle1:STN:280:DyaK3czotlOjuw%3D%3D
MW Vernooij MA Ikram HL Tanghe AJ Vincent A Hofman GP Krestin WJ Niessen MM Breteler A van der Luqt (2007) ArticleTitleIncidental findings on brain MRI in the general population N Engl J Med 357 IssueID18 1821–1828 Occurrence Handle17978290 Occurrence Handle10.1056/NEJMoa070972 Occurrence Handle1:CAS:528:DC%2BD2sXht1Kit7fO
K Yamada T Hatayama M Ohta K Sakoda T Uozumi (1986) ArticleTitleCoincidental pituitary adenoma and parasellar meningioma: case report Neurosurgery 19 267–270 Occurrence Handle3748357 Occurrence Handle10.1097/00006123-198608000-00016 Occurrence Handle1:STN:280:DyaL28zhtFOnsw%3D%3D
Author information
Authors and Affiliations
Corresponding author
Additional information
Correspondence: Mr. Ramez W. Kirollos, Academic Department of Neurosurgery, Addenbrooke’s Hospital, Hills Road, Box 166, Cambridge CB2 2QQ, U.K.
Rights and permissions
About this article
Cite this article
Ganesan, D., Dean, A., Antoun, N. et al. A second biopsy? – Tandem lesion. Acta Neurochir (Wien) 150, 501–503 (2008). https://doi.org/10.1007/s00701-008-1567-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-008-1567-0