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Pituitary adenomas with infra-sellar extension into the nasopharynx

Published online by Cambridge University Press:  29 June 2007

Benoit Godey ,
Xavier Morandi ,
François Le Gall ,
Stephane Feat ,
Gilles Brassier  and
Guy Le Clech
Benoit Godey*
Affiliation:
Department of ENT and Maxillo-Facial Surgery, Rennes University Hospital, Pontchaillou, France.
Xavier Morandi
Affiliation:
Department of ENT and Neurosurgery, Rennes University Hospital, Pontchaillou, France.
François Le Gall
Affiliation:
Department of ENT and Histopathology, Rennes University Hospital, Pontchaillou, France.
Stephane Feat
Affiliation:
Department of ENT and Maxillo-Facial Surgery, Rennes University Hospital, Pontchaillou, France.
Gilles Brassier
Affiliation:
Department of ENT and Neurosurgery, Rennes University Hospital, Pontchaillou, France.
Guy Le Clech
Affiliation:
Department of ENT and Maxillo-Facial Surgery, Rennes University Hospital, Pontchaillou, France.
*
Address for correspondence: Benoit Godey, M.D., service ORL, CHU de Rennes, 2 rue Henri le Guillou, 35033 Rennes Cedex 9, France. Fax: 02.99.28.41.94 e-mail: benoit.godey@univ-rennes1.fr
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Abstract

Three cases of pituitary adenomas with infra-sellar extension into the nasopharynx and the nasal cavities are reported. The clinical signs were epistaxis, nasal obstruction, painful sinuses and purulent rhinorrhoea. The initial diagnostic hypothesis was that of a carcinoma of the nasopharynx or the sinuses in all three cases. The diagnosis was made by histological examination and measurement of plasma hormone levels. These cases highlight the difficulty in the diagnosis of such tumours due to their misleading clinical, radiological and histological features.

Keywords

Pituitary neoplasmsNasopharynxDiagnosis, otorhinolaryngological
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1109 - 1111
Copyright
Copyright © JLO (1984) Limited 1999

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