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Weekly Case
종결
Case No. 463
2017-11-01~2017-11-30
출제자 : 유인선
Hit : 263
| Period | 2017-11-01~2017-11-30 |
|---|---|
| Diagnosis | • Pituitary macroadenoma |
| Clinical information | M/61 C.C> CT상 우연히 발견된 mass |
| Discussion | • Pituitary macroadenoma • M/C intrasellar pathology, accounting for 10-15% of all intracranial neoplasm • Benign neoplasm that arises from adenohypophysis, greater than 10mm • Clinical presentation • local mass effect (especially optic chiasm Bitemporal hemianopia) • hormonal imbalance, hypopituitarism (from compression) • Rarely pituitary apoplexy may present • Imaging findings • Usually extending superiorly, Sellar turcica bony erosion, expansion • Indentation at the diaphragma sellae can give a snowman or figure 8 configuration • Pseudocapsule (Residual Normal gland) • Stalk deviation (Pars distalis origin) |
| Correct answer |
Correct Answer
Semi-Correct Answer |