1. Phaeohyphomycosis: an unusual pituitary mass
- Author
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Nicholas Thomas, Tibor Hortobágyi, Istvan Bodi, M. A. Petrou, Steve Connor, Ian Y L Yeung, and Benjamin Whitelaw
- Subjects
Pituitary gland ,medicine.medical_specialty ,Hypophysectomy ,Sphenoid Sinus ,Pituitary Diseases ,medicine.medical_treatment ,Lesion ,Central Nervous System Fungal Infections ,medicine ,Humans ,Mycosis ,Sinus (anatomy) ,Palsy ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,Phaeohyphomycosis ,medicine.anatomical_structure ,Female ,Histopathology ,Neurology (clinical) ,medicine.symptom ,business - Abstract
A 64-year-old Caucasian woman presented with left eye pain and a transient left oculomotor nerve palsy. Subsequent imaging revealed a mass involving the sphenoid sinus and sella with suprasellar extension. A trans-sphenoidal hypophysectomy was performed. Histopathology showed a fungal infection consistent with phaeohyphomycosis. Development of this lesion is probably attributed to allergic rhinitis and insulin-dependent diabetes mellitus. Intravenous amphotericin and itraconazole treatment resulted in full recovery and the patient remains well at 6-month postoperative follow-up.
- Published
- 2005
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