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篇名 Pituitary apoplexy associated with an inverted papilloma of sphenoid sinus
作者 Sang-Jek Liew, Jung-Tung Liu, Chao-Yu Shen, Wei-Chean Tan
卷期/出版年月 46卷1期 (2013/2)
頁次 15-18
摘要 A 42-year-old man had a severe progressive headache and visual field defects due to pituitary apoplexy. Transsphenoidal resection of a pituitary tumor (measuring approximately 8.7 cm3) resulted in the complete relief of his symptoms. Histological examination revealed the presence of a pituitary adenoma and an inverted papilloma of the sphenoid sinus.This communication emphasizes the following: (1) mucosal thickening and an inverted papilloma of the sphenoid sinus can be a precipitating factor in pituitary apoplexy; (2) an inverted papilloma of the sphenoid sinus may increase intrasellar pressure and therefore increase the risk of acute pituitary apoplexy; (3) if imaging shows thickening of the sphenoid sinus mucosa, then a partial resection of the sphenoid sinus mucosa for histological evaluation should be performed during the transsphenoidal resection of the pituitary tumor.
關鍵詞 inverted papilloma;pituitary apoplexy;sphenoid sinus
分類 Case Report

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