Korean J Otolaryngol-Head Neck Surg.
2005 Jul;48(7):930-932.
Pituitary Adenoma with Extension into the Nasal Cavity
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea. lhman@korea.ac.kr
Abstract
- The intranasal presentation of pituitary adenoma is rarely reported. We report a 44 year-old female who presented with nasal obstruction due to massive pituitary tumor. Neurologic and ophthalmolgic examinations disclosed no abnormalities. Computed tomographic scans and magnetic resonance image of paranasal sinuses showed a sellar and suprasellar mass extending into the sphenoid sinus and nasal cavity. All hormone levels were within normal range in endocrinologic examination. Since the tumor extended into the nasal cavity, a nasal biopsy was performed and pituitary adenoma was confirmed. Removal was done through trans-sphenoidal approach. This unusual presentation is discussed with a reference to the literature.