Case Report

Contribution of Imaging in the Management of Pituitary Macroadenomas. About Three Observations in Casamance (South Senegal)

Authors: Cherif Mohamadou Aidara, Nfally Badji, Léra Géraud Akpo, Tahibou Balia Diallo, Cheikh Ahmadou Bamba Guèye, Ibrahima Diallo, Abdoulaye Ndoye Diop, Abdoulaye Dione Diop, Hamidou Deme, Sokhna Ba.

DOI: 10.33425/2835-3587.1033

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Abstract

Pituitary macroadenoma is a tumor lesion that is most often benign, non-encapsulated, non-secreting, larger than 1 cm and developed at the expense of the pituitary gland. The seriousness of this condition lies in the possibility of compression of the noble structures around the pituitary lodge, in particular the cavernous sinus, the optic pathways, the temporal lobe. The most feared complication is the occurrence of ischemic or hemorrhagic changes in the tumor called pituitary apoplexy. This complication can affect the patient's prognosis. This is especially true since the lesion can be discovered by chance, at an advanced age and most often in patients with multiple pathologies. Apart from these situations, the discovery can follow endocrine symptoms; which is rare. However, pituitary apoplexy is described in other lesions such as craniopharyngioma. These different presentations of the tumor must lead us to efficient management to avoid the occurrence of very serious complications. The aim of this article is to remind through 3 observations the clinical aspects, the imaging aspects, the complications and the management of this condition.

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