The coexistence of a pituitary macroadenoma and a tuberculum sellae meningioma is
very rare. This article demonstrates the surgical technique of the simultaneous resection
of a pituitary macroadenoma and a tuberculum sellae meningioma using an endoscopic,
endonasal, biportal, transsphenoidal approach. A 36-year-old woman presented with
frontal headache and extended visual field loss of the right eye. She underwent cranial
magnetic resonance imaging (MRI) revealing a 2 × 2× 2.5 mm contrast-enhancing intrasellar
and suprasellar lesion with compression of the optic chiasma. The coexistence of a
pituitary macroadenoma and meningioma was suggested. A biportal endoscopic endonasal
transsphenoidal approach was performed to remove both lesions. The histological results
confirmed the coexistence of the pituitary macroadenoma and meningioma, World Health
Organization (WHO) grade I. The endoscopic, endonasal, transsphenoidal approach is
a safe and reliable minimal invasive surgical alternative for resection of the intra-,
supra- and parasellar lesions, avoiding additional craniotomy.
Key-words:
Coexistence - endoscopic resection - pituitary adenoma - tuberculum sellae meningioma
