A rare cause of nasal obstruction: giant invasive nonfunctioning pituitary adenoma

Year 2010, Volume: 20 Issue: 6, 309 - 313, 20.12.2010

Güçlü Kaan Beriat Cem Doğan Şefik Halit Akmansu Demet Karadağ Handan Doğan

Abstract

Nasal obstruction is a very rare symptom caused by a pituitary adenoma. A 57-year-old man admitted to our clinic with bilateral nasal obstruction for the last six months. Endoscopic examination revealed soft pinkish pulsatile tissues in both nasal cavities. Radiologic investigation revealed a suprasellar mass extending to the frontal lobes, spheno-ethmoidal sinuses and nasal cavities. He had bitemporal superior quadrant hemianopsia. Pituitary hormone levels were normal. Biopsies were taken from the patient endonasally. Pathological evaluations and laboratory findings were compatible with nonfunctioning pituitary adenoma.

Keywords

Biopsy, nasal obstruction, pituitary adenoma

Nadir bir burun tıkanıklığı nedeni: Dev invaziv nonfonksiyonel hipofiz adenomu

Abstract

Burun tıkanıklğı hipofiz adenomun neden olduğu çok nadir bir semptomdur. Elli yedi yaşında erkek hasta altı aydır süren iki taraflı burun tıkanıklığı ile kliniğimize başvurdu. Endoskopik muayenesinde her iki burun boşluğunda yumuşak pembemsi, pul- satil doku izlendi. Radyolojik incelemelerinde frontal loba, sfeno-ethmoidal sinüslere ve burun boşluk- larına uzanım gösteren suprasellar kitle izlendi. Hastada bitemporal üst kadran hemianopsi vardı. Hipofiz hormon düzeyleri normal idi. Biyopsiler has- tadan endonazal yol ile alındı. Patolojik değerlendir- mesi ve laboratuvar bulguları nonfonksiyonel hipofiz adenomu ile uyumluydu

Keywords

Biyopsi, burun tıkanıklığı, hipofiz adenomu

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