A Rare Localized Pituitary Stalk Germinoma Presenting in the Third Decade

المؤلفون المشاركون

Gonzalez-Bossolo, Alex
Brau, Ricardo
Sanchez Ortiz, Javier
Hernan Martinez, Jose
Mangual García, Michelle M.
Dávila, Kyrmarie

المصدر

Case Reports in Endocrinology

العدد

المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2018-12-17

دولة النشر

مصر

عدد الصفحات

5

التخصصات الرئيسية

الأمراض

الملخص EN

We report the case of a 34-year-old male Hispanic patient who presented with an 8-month history of polyuria and decreased libido.

An evaluation revealed hypopituitarism, central diabetes insipidus, and a pituitary stalk lesion.

No evidence of a neoplasm or an inflammatory/infiltrative disease was found.

We treated the patient conservatively with steroid therapy.

However, as a result of disease progression, transsphenoidal surgery was performed to obtain tissue for a pathological analysis.

Histopathology revealed an intrasellar germinoma, confirmed by immunochemistry.

Due to localized disease, radiotherapy was initiated and clinical improvement was noted.

This case emphasizes the importance of histopathological analysis; for many physicians, the presentation of a pituitary stalk lesion in a young male adult creates a clinical conundrum.

Although the most common etiologies are an inflammatory or secondary neoplasm, the possible presence of an intrasellar neoplasm should not be ruled out.

In many cases, imaging characteristics and tumor markers may aid in the diagnosis without the need of an aggressive diagnostic approach.

However, in this case, histopathological analysis was the only way to make a correct diagnosis and provide adequate treatment for the patient.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Gonzalez-Bossolo, Alex& Mangual García, Michelle M.& Dávila, Kyrmarie& Brau, Ricardo& Sanchez Ortiz, Javier& Hernan Martinez, Jose. 2018. A Rare Localized Pituitary Stalk Germinoma Presenting in the Third Decade. Case Reports in Endocrinology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1142897

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Gonzalez-Bossolo, Alex…[et al.]. A Rare Localized Pituitary Stalk Germinoma Presenting in the Third Decade. Case Reports in Endocrinology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1142897

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Gonzalez-Bossolo, Alex& Mangual García, Michelle M.& Dávila, Kyrmarie& Brau, Ricardo& Sanchez Ortiz, Javier& Hernan Martinez, Jose. A Rare Localized Pituitary Stalk Germinoma Presenting in the Third Decade. Case Reports in Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1142897

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1142897