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Shoulder osteoarthritis facilitating the diagnosis of acromegaly.
BMJ Case Rep
November 2024
Paris Cité University, Department of physical medicine and rehabilitation, Hôpital Cochin - Assistance Publique- Hôpitaux de Paris, Paris, Île-de-France, France.
Article Synopsis
- - A 50-something man experienced chronic shoulder pain and reduced motion without any prior trauma, leading to imaging that showed osteophytosis but no severe joint issues.
- - A second consultation revealed swelling in his hands and feet, raising suspicion of acromegaly, which was confirmed by further tests and an MRI showing a sellar tumor.
- - The shoulder pain was linked to undiagnosed acromegalic arthropathy, prompting treatment through surgery and medication, emphasizing the importance of early acromegaly diagnosis to prevent complications.
Long-Term Quality of Life Among Patients Undergoing Endoscopic Pituitary Gland Surgery.
J Clin Med
October 2024
Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Affiliated to Tel Aviv University, Tel Aviv 6423906, Israel.
The endoscopic approach to skull base lesions is widely regarded as less invasive and associated with reduced morbidity, offering favorable outcomes, particularly in terms of short-term quality of life (QOL). However, to date, long-term assessments of both nasal function and tumor-related QOL remain limited. To evaluate patients' long-term nasal- and tumor-related QOL after endoscopic endonasal resection of pituitary tumors and to detect predictors for poor postoperative QOL.
View Article and Find Full Text PDFFully Endoscopic Trans-Sphenoidal (TNS) Gross Total Resection of a Rare Granular Cell Tumor of Neurohypophysis: Surgical Video and Case Strategy Discussion.
Neurol India
May 2024
Department of Pathophysiology and Transplantation, Unit of Neurosurgery, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Perinatal management for fetal oral epignathus with duplication of the pituitary gland (DPG)-plus syndrome: A case report and literature review.
Int J Gynaecol Obstet
December 2024
Department of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
The prenatal diagnosis of epignathus presents a unique challenge for physicians. Differential diagnosis is usually based on the anatomic location of the tumor. Typical prenatal ultrasound characteristics of epignathus include a mixed solid and cystic lesion with vascularity in the solid component, originating from the hard or soft palate, and it is often associated with other anomalies such as craniofacial clefts or trans-sphenoidal intracranial extension.
View Article and Find Full Text PDF[Pituitary metastases: a diagnostic and therapeutic challenge].
Medicina (B Aires)
June 2024
Hospital Carlos G. Durand, Buenos Aires, Argentina.
Article Synopsis
- Sellar metastases (SM), which are rare occurrences linked to advanced cancer, often arise from primary tumors like breast and lung cancer.
- A study reviewed 18 cases of SM from 2009 to 2020, revealing symptoms such as diabetes insipidus and visual disturbances, with a significant number of patients diagnosed with primary tumors only after sellar mass identification.
- Most patients exhibited severe health issues, with a high surgical intervention rate, but unfortunately, the median survival post-diagnosis was only 6 months, highlighting the aggressive nature of these metastases.
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