Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature

Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature

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Background and Importance: The coexistence of pituitary adenoma and another type of brain tumor is a very rare clinical scenario.Even though such a presentation can be an incidental event but the possible pathogenesis of coexistence skeleton yard stakes of different lesions in the sella and suprasellar region has not yet been elucidated.Case Presentation: Two cases of concomitant sellar and suprasellar region tumors are reported.

A 37-year-old lady with Prolactinoma and a suprasellar meningioma and a 42-year-old Acromegalic man with suprasellar meningioma and a pituitary adenoma toyo proxes st iii 305/40r22 (PA).Conclusion: Both meningiomas were removed transcranially while the Prolactinoma could be managed medically and the growth hormone (GH) secreting adenoma was removed trans-sphenoidally.The visual problems and hormonal imbalances of both patients improved postoperatively and there has been no sign of recurrence of the lesions after a mean of five years follow up.

The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed.