Abstract
The concomitance of two different pathologies within the sella is considered very rare in the clinical setting but not in autopsy studies. From a radiological point of view and since the advent of high-field MRI scanners, particularly 3.0 T, pituitary adenomas and Rathke cleft cysts (RCC) coexist not infrequently, particularly if tiny intrasellar RCC are considered: millimetric T1-hyperintense cysts in contact with the anterior surface of the posterior lobe are frequently missed if axial T1W images are not obtained. Small (2–3 mm in diameter) RCC located at the junction of the pituitary stalk and the anterior pituitary are also frequent (Fig. 21.1)
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Further Reading
Jin G, Hao S, Xie J et al (2013) Collision tumors of the sella: coexistence of pituitary adenoma and craniopharyngioma in the sellar region. World J Surg Oncol 11:178
Meij BP, Lopes MB, Vance ML et al (2000) Double pituitary lesions in three patients with Cushing’s disease. Pituitary 3(3):159–168
Noh SJ, Ahn JY, Lee KS, Kim SH (2007) Pituitary adenoma and concomitant Rathke’s cleft cyst. Acta Neurochir (Wien) 149:1223–1228
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Bonneville, JF. (2016). Pituitary Adenoma and Concomitant Sellar Lesions. In: MRI of the Pituitary Gland. Springer, Cham. https://doi.org/10.1007/978-3-319-29043-0_21
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DOI: https://doi.org/10.1007/978-3-319-29043-0_21
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