Adenomas produtores de TSH: Relato de caso

We describe a rare case of thyroid-stimulating hormone-secreting pituitary adenoma in a patient with a clinical picture of hyperthyroidism, that developed bitemporal hemianopsia after four years of a known thyroid dysfunction. CT scan showed a pituitary tumor considered grade 2 and stage C according...

Descripción completa

Detalles Bibliográficos
Autores: Tella Jr, Oswaldo Inácio [UNIFESP], Herculano, Marco Antonio, Delcelo, Rosana [UNIFESP], Prandini, Mirto Nelso [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2002
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/1385
Acceso en línea:http://dx.doi.org/10.1590/S0004-282X2002000100023
http://repositorio.unifesp.br/handle/11600/1385
Access Level:acceso abierto
Palabra clave:TSH
adenoma
hyperthyroidism
transsphenoidal
hipertireoidismo
transeptoesfenoidal
Descripción
Sumario:We describe a rare case of thyroid-stimulating hormone-secreting pituitary adenoma in a patient with a clinical picture of hyperthyroidism, that developed bitemporal hemianopsia after four years of a known thyroid dysfunction. CT scan showed a pituitary tumor considered grade 2 and stage C according to Hardy-Vezina and Wilson. Treatment was surgical, initially by a transsphenoidal approach, in which only a biopsy was possible. The patient was then submitted to an orbital-pterional craniotomy with sub-total resection of the tumor. Complementary treatment was indicated with radiotherapy.