Supra-diaphragmatic Pituitary Adenoma Removed Through the Trans-tuberculum Sellae Approach —Case Report—

Yasuyuki KINOSHITA; Atsushi TOMINAGA; Kazunori ARITA; Seiji HAMA; Tetsuhiko SAKOGUCHI; Kazuhiko SUGIYAMA; Kaoru KURISU

doi:10.2176/nmc.52.91

Case Reports

Supra-diaphragmatic Pituitary Adenoma Removed Through the Trans-tuberculum Sellae Approach

—Case Report—

Yasuyuki KINOSHITA, Atsushi TOMINAGA, Kazunori ARITA, Seiji HAMA, Tetsuhiko SAKOGUCHI, Kazuhiko SUGIYAMA, Kaoru KURISU

Author information

Keywords: supra-diaphragma, suprasellar pituitary adenoma, ectopic pituitary adenoma, trans-tuberculum sellae approach

JOURNAL OPEN ACCESS

2012 Volume 52 Issue 2 Pages 91-95

DOI https://doi.org/10.2176/nmc.52.91

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Abstract

A 59-year-old woman presented with a rare supra-diaphragmatic pituitary adenoma manifesting as a mass lesion. Her baseline data and the response of anterior pituitary hormones to the provocation test were within the normal range. Magnetic resonance imaging showed a homogeneously enhanced tumor located on the diaphragma sellae. The tumor was totally removed by the endonasal trans-tuberculum sellae approach under combined microscopic and endoscopic observation. Her postoperative course was uneventful and the histological diagnosis was pituitary adenoma located in the suprasellar region. The trans-tuberculum sellae approach is a less invasive method to remove pituitary adenoma located in the suprasellar region.

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