# A Rare Pituitary Tumor

**Authors:** Ramya Bhat, Nikhil Shankar, Chirag LU, Rakshith Srinivasa, Shilpa Rao, Pramila Kalra

PMC · DOI: 10.7759/cureus.63264 · Cureus · 2024-06-27

## TL;DR

This paper presents a rare case of a pituitary tumor that mimics other brain masses and emphasizes the need for careful diagnosis.

## Contribution

The paper adds a new clinical case of pituicytoma, a rare tumor, to highlight diagnostic challenges in endocrinology.

## Key findings

- Pituicytoma was diagnosed in a patient with suprasellar mass and vision issues.
- Histopathology confirmed the tumor's unique cellular and immunohistochemical features.
- The case underscores the importance of considering rare tumors in differential diagnosis.

## Abstract

Sellar-suprasellar masses, with diverse origins ranging from infiltrative to neoplastic processes, are frequently encountered in endocrinology clinics. Evaluation involves a detailed history, hormone analysis, and imaging of the hypothalamic-pituitary axis. However, overlapping hormonal and imaging features can complicate diagnosis, often necessitating confirmation through tissue biopsy. Pituicytoma, a rare sellar tumor mimicking other masses biochemically and radiologically, exemplifies this challenge. These are benign intracranial neoplasms with characteristic bipolar spindle-shaped astrocytic cells organized in fascicular or storiform patterns with specific immunohistochemistry. The current case is of an elderly postmenopausal woman with a history of hypertension who presented with recurrent headaches and transient vision loss in the left eye. Imaging studies revealed a suprasellar mass, which was biopsied and diagnosed on histopathological examination as a pituicytoma. This case highlights the importance of considering less common etiologies when encountering such presentations.

## Full-text entities

- **Diseases:** masses (MESH:C536030), vision loss (MESH:D014786), headaches (MESH:D006261), Pituitary Tumor (MESH:D010911), suprasellar mass (MESH:D020863), benign intracranial neoplasms (MESH:D009369), hypertension (MESH:D006973)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11281943/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC11281943/full.md

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Source: https://tomesphere.com/paper/PMC11281943