Silent Corticotroph Pituitary Neuroendocrine Tumor: A Case Report
Abstract
Silent corticotroph pituitary neuroendocrine tumors are a rare subtype of non-functioning pituitary neuroendocrine tumors that lack the clinical and biochemical manifestations of Cushing disease. These tumors are associated with an aggressive clinical course because of a tendency for rapid progression and invasive growth, as well as a high recurrence rate. We present a 41-year-old woman without Cushingoid symptoms who presented with headache, bitemporal hemianopia, and diplopia. MRI revealed a mass extending into the suprasellar region, measuring approximately 2 × 4 cm, with internal necrotic areas and post-contrast enhancement. Following transsphenoidal resection, immunohistochemical staining demonstrated positivity for adrenocorticotropic hormone, confirming the diagnosis of a silent corticotroph pituitary neuroendocrine tumor. This case highlights the importance of recognizing silent corticotroph pituitary neuroendocrine tumors, the treatment approach, and long-term follow-up.
Keywords
References
- Ioachimescu AG, Eiland L, Chhabra VS, Mastrogianakis GM, Schniederjan MJ, Brat D, et al. Silent corticotroph adenomas: Emory University cohort and comparison with ACTH-negative nonfunctioning pituitary adenomas. Neurosurgery. 2012;71(2):296-303; discussion 304. doi:10.1227/NEU.0b013e318257c1f0.
- Cooper O. Silent corticotroph adenomas. Pituitary. 2015;18(2):225-31. doi:10.1007/s11102-014-0624-3.
- Asa SL, Mete O, Perry A, Osamura RY. Overview of the 2022 WHO classification of pituitary tumors. Endocr Pathol. 2022;33(1):6-26. doi:10.1007/s12022-022-09703-7.
- Sumislawski P, Huckhagel T, Krajewski KL, Aberle J, Saeger W, Flitsch J, et al. Cystic versus non-cystic silent corticotrophic adenomas: clinical and histological analysis of 62 cases after microscopic transsphenoidal surgery-a retrospective, single-center study. Sci Rep. 2023;13(1):2468. doi:10.1038/s41598-023-29628-3.
- Jiang S, Zhu J, Feng M, Yao Y, Deng K, Xing B, et al. Clinical profiles of silent corticotroph adenomas compared with silent gonadotroph adenomas after adopting the 2017 WHO pituitary classification system. Pituitary. 2021;24(4):564-73. doi:10.1007/s11102-021-01133-8.
- Goyal-Honavar A, Sarkar S, Asha HS, Kapoor N, Balakrishnan R, Vanjare H, et al. A clinicoradiological analysis of silent corticotroph adenomas after the introduction of pituitary-specific transcription factors. Acta Neurochir (Wien). 2021;163(11):3143-54. doi:10.1007/s00701-021-04911-2.
- Himstead AS, Wells AC, Kurtz JS, Moldenhauer MR, Davies JL, Fote GM, et al. Silent corticotroph adenomas demonstrate predilection for sphenoid sinus, cavernous sinus, and clival invasion compared with other subtypes. World Neurosurg. 2024;191:e41-7. doi:10.1016/j.wneu.2024.08.027.
- Jiang S, Chen X, Wu Y, Wang R, Bao X. An update on silent corticotroph adenomas: diagnosis, mechanisms, clinical features, and management. Cancers (Basel). 2021;13(23):6134. doi:10.3390/cancers13236134.
Details
Primary Language
English
Subjects
Endocrinology
Journal Section
Case Report
Authors
Fettah Acıbucu
0000-0002-2252-2112
Türkiye
Publication Date
August 21, 2026
Submission Date
February 28, 2026
Acceptance Date
August 10, 2026
Published in Issue
Year 2026 Volume: 28 Number: 2
