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아스페르길루스성 뇌하수체염 -1예 보고-

Aspergillous Hypophysitis -A Case Report-

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초록

Abstract

Aspergillous hypophysitis is an unusual cause of sella turcica enlargement, and this malady has a clinical presentation as a pituitary tumor, and especially as a pituitary adenoma. We report here on a case of aspergillous hypophysitis that developed in a 37-year-old healthy woman. She first experienced a blurred vision with amenorrhea and galactorrhea. Three months later, the CT scan revealed an intrasellar mass. The patient underwent a transsphenoidal exploration of the sella turcica for a presumed pituitary tumor. Histologically, the pituitary displayed necrotizing granuloma with the acutely branching fungal hyphae of Aspergillus.

참고문헌 (6)

  1. Larranaga J, "Aspergillosis of the sphenoid sinus simulating a pituitarytumor", 31, pp.362~3 (1989)
  2. Ramos-Gabatin A, "Primary pituitary aspergillosis respondingto transsphenoidal surgery and combined therapy with amphotericin-B and 5-fluorocytosine:case report", 54, pp.839~41 (1981)
  3. Domingue JN, "Pituitary abscesses", 46, pp.601~8 (1977)
  4. Lindholm J, "Intrasellar or pituitary abscess", 38, pp.616~9 (1973)
  5. Fuchs HA, "Invasive aspergillosis of the sphenoidsinus manifested as a pituitary tumor", 78, pp.1365~7 (1985)
  6. Lavelle WG, "Aspergillosis of the sphenoid sinus:case report", 67, pp.266~9 (1988), Ear NoseThroat J

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