Table 1 Literature review for the coexistence of pituitary adenoma with craniopharyngioma
Case | Report | Age, sex | Symptom, duration | Hyperprolactinemia | 1st treatment, pathology | Post-operative course | Pathologic type of | Follow up |
|---|---|---|---|---|---|---|---|---|
| Â | year | Â | Â | Â | Â | Â | pituitary adenoma | Â |
1. [4] | 1971 | 29, male | Acromegaly | Â | Right frontal craniotomy, Pituitary adenoma and craniopharyngioma | Diabetes insipidus | Somatotroph | Died 4Â days after operation; uncontrolled diabetes insipidus |
2. [5] | 1981 | 57, male | Â | Destructive growth pattern | Craniotomy (March 1979) partial removal of craniopharyngioma | 2nd surgery : Craniotomy due to regrowth of craniopharyngioma (December 1979) | Prolactin | Died 10Â days after operation; cardiac arrest. Chromophobic adenoma (prolactinoma) and chordoma (both post mortem findings) |
3. [6] | 1986 | 61, male | Deteriorating vision, 9Â months | + | Subfrontal approach, Craniopharyngioma | Visual acuity deteriorated 2Â months post-operatively | Prolactin | Autopsy confirmed pituitary adenoma |
Died from cardiac arrest. | ||||||||
4. [7] | 1986 | 32, female | Amenorrhea, lactation, acromegaly, 3Â months | + | Transsphenoidal, Pituitary adenoma | 1st surgery: headache and visual acuity deteriorated 1Â month post-operatively | Prolactin and growth hormone | Not known |
2nd surgery: right frontal craniotomy for craniopharyngioma | ||||||||
5. [8] | 1987 | 47, male | Deteriorating vision | + | Transsphenoidal, Pituitary adenoma | 1st surgery: visual acuity deteriorated 1Â month post-operatively 2nd surgery: interhemispheric approach without pathological changes | Prolactin | Not known |
3rd surgery: bifrontal craniotomy for craniopharyngioma | ||||||||
6. [9] | 1987 | 36, male | Deteriorating vision, 18Â months | Â | Transsphenoidal Pituitary adenoma | 1st surgery: headache and visual acuity deteriorated 2Â months post-operatively | Nonfunctional adenoma | Not known |
2nd surgery: craniotomy for craniopharyngioma | ||||||||
7. [10] | 1988 | 62, female | Personality change, 2Â months | + | Right frontoparietal parasagittal craniotomy and radiotherapy, Craniopharyngioma | Lethargy, ataxia, incontinence, polyuria and polydipsia 12Â months post-operatively | Prolactin | Autopsy confirmed lactotroph hyperplasia and microprolactinoma |
Died from pulmonary embolism | ||||||||
8. [11] | 2008 | 29, male | Atrial fibrillation, 24 months | − | Transsphenoidal Composite, pituitary adenoma and craniopharyngioma | Not known | Thyroid-stimulating hormone | Not known |
9. [12] | 2008 | 50, male | Headache, difficulty sleeping, decreased libido | + | Transsphenoidal, Pituitary adenoma and craniopharyngioma | Hypogonadal | Gonadotrophic hormone | No recurrence in 4Â years |
10. [13] | 2009 | 59, male | Progressive vision loss | Â | Subtotal transcranial resection | Transient diabetes insipidus | Gonadotrophic hormone | Not known |
11. [14] | 2009 | 12, male | Partial hypopituitarism | + | Right frontal craniotomy, Composite craniopharyngioma and pituitary adenoma | Uneventful | Silent pituitary adenoma subtype 3 | MRI performed 8Â months post-operatively; 10Â months after operation no tumor recurrence |
12. [15] | 2009 | 47, male | Headache and vision loss, years | − | Transsphenoidal, Composite pituitary adenoma and craniopharyngioma | Uneventful | Nonfunctional adenoma | No recurrence in 1 year |
13. [16] | 2013 | 75, female | Diplopia | + | Transsphenoidal, Composite pituitary adenoma and craniopharyngioma | Uneventful | Silent type 2, ACTH | No recurrence in 10Â months |
14. Present case | 2009 | 47, female | Deteriorating vision, 5Â months | + | Transsphenoidal, Pituitary adenoma | 1st surgery: visual acuity deteriorated 9Â months post-operatively | prolactin and ACTH | No recurrence in 2Â years |
2nd surgery: interhemispheric transcallosal approach |