Pituitary Adenoma with Calcifications: A Case Report

Abstract

Pituitary adenomas and Rathke’s cleft cyst with calcification are rarely seen and craniopharyngioma still remains the common sellar suprasellar space occupying lesion with calcification. Presence of calcification is reported in pituitary adenoma in only 0.2% to 8% cases. The pituitary adenoma with calcification is a rare radiological finding and it must be distinguished from other lesions of the pituitary gland as the management and prognosis differs significantly. We report a case of a 29-year-old gentleman presented electively with the complaints of deterioration of vision for four months. CT-scan without contrast examination revealed pituitary adenoma with calcification. The patient underwent transsphenoidal resection and was discharged on third post-operative day. Histopathology confirmed the diagnosis of pituitary adenoma with calcification. Pituitary tumor presenting with evidence of calcification is an infrequent radiological finding and identification of pituitary adenomas with calcifications is essential as it guides towards medical and surgical management of the lesion.

Calcified Pituitary Adenoma Mimicking Craniopharyngioma: A Case Report

“…The surgical method chosen for pituitary adenoma depends on factors like suprasellar extension, tumor size, and the degree of calcification [ 16 ]. Traditionally, the trans-sphenoidal surgical approach has been utilized for these cases [ 16 - 18 ]. However, in the case reported by Ibrahim et al, a craniotomy was performed due to extensive calcification [ 19 ].…”

Case report: A rare case of thyrotropin-secreting pituitary macroadenoma with diffuse calcification presenting with hyperthyroidism and literature review

“…The latter, also known as “pituitary stones,” are relatively rare. Furthermore, calcification in pituitary adenoma raises special diagnostic and therapeutic challenges ( 20 ). In this case, the tumor was diffusely calcified on a CT scan, and it was hard to get the correct diagnosis of pituitary adenoma just according to imaging studies.…”