Sellar/Suprasellar Germinoma Masquerading As Pituitary Adenoma

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dc.contributor.authorShukla, Anjuen_US
dc.contributor.authorNaseem, Iqbalen_US
dc.contributor.authorHusain, Mazharen_US
dc.contributor.authorRastogi, Manuen_US
dc.contributor.authorSingh, Poonamen_US
dc.date.accessioned2019-11-25T05:26:37Z
dc.date.available2019-11-25T05:26:37Z
dc.date.issued2019-02
dc.description.abstractWe report a case of sellar/suprasellar germinoma in a 17-year-old female which was misdiagnosed as pituitary adenoma both clinically and on imaging. Patient presented with severe headache of short duration and diminished visual acuity in left eye. Endocrinological work up revealed hyperprolactinemia and markedly reduced blood cortisol. MRI revealed homogenously enhanced intrasellar mass with suprasellar extension showing characteristic dumbbell conguration (snowman sign). Provisional diagnosis of pituitary adenoma was made and transsphenoidal resection of tumor was performed which on histology and immunohistochemistry proved to be germinoma. Sellar/suprasellar germinoma without diabetes insipidus is considered to be very difcult to diagnose preoperatively and the differentiation from pituitary adenoma based on MRI ndings was not possible in this case. However it is suggested that in a child with visual impairment, endocrine dysfunction and sellar/suprasellar mass a possibility of germ cell tumor should always be considered in differential diagnosis and a frozen section has to be performed to avoid excessive dissection.en_US
dc.identifier.affiliationsMD (Pathology), Senior Consultant & Head, Department of Lab Medicine, Sahara Hospital, Lucknow *Corresponding Authoren_US
dc.identifier.affiliationsDNB(Radiology), Associate Consultant, Department of Radiodiagnosis, Sahara Hospital, Lucknowen_US
dc.identifier.affiliationsMS (Surgery), MCh (Neurosurgery), Head of the department, Neurosurgery, Sahara Hospital, Lucknowen_US
dc.identifier.affiliationsMS (Surgery), MCh (Neurosurgery), Senior Consultant, Department of Neurosurgery, Sahara Hospital, Lucknowen_US
dc.identifier.affiliationsMD (Pathology), Associate Consultant, Department of Lab Medicine, Sahara Hospital, Lucknowen_US
dc.identifier.citationShukla Anju, Naseem Iqbal, Husain Mazhar, Rastogi Manu, Singh Poonam . Sellar/Suprasellar Germinoma Masquerading As Pituitary Adenoma. International Journal of Scientific Research. 2017 Feb; 8(2): 5-6en_US
dc.identifier.issn2277-8179
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185320
dc.languageenen_US
dc.publisherWorld Wide Journalsen_US
dc.relation.issuenumber2en_US
dc.relation.volume8en_US
dc.subjectSellar/Suprasellaren_US
dc.subjectGerminomaen_US
dc.subjectPituitaryadenomaen_US
dc.titleSellar/Suprasellar Germinoma Masquerading As Pituitary Adenomaen_US
dc.typeJournal Articleen_US
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