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首页> 外文期刊>Ocular oncology and pathology. >Coexisting Optic Disc Melanocytoma and Pituitary Adenoma
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Coexisting Optic Disc Melanocytoma and Pituitary Adenoma

机译：共存视盘黑肾细胞瘤和垂体腺瘤

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Aim: To report a rare case of optic disc melanocytoma coexistent with pituitary adenoma. Methods: Ophthalmological examination with perimetry and magnetic resonance imaging (MRI) of the brain and orbits was done. Results: A 42-year-old woman presented with complaints of progressive diminution of vision in the right eye of 6 weeks’ duration. Visual acuity in the affected right eye was 6/60 and in the left eye it was 6/6. On examination, a brown-black lesion was noted over the optic nerve head in the right eye. On perimetry, the visual field was constricted in the right eye and a superior altitudinal defect was found in the left eye. MRI of the brain and orbits revealed a pituitary adenoma with suprasellar extension. The patient underwent endoscopic transphenoidal pituitary adenoma excision with uneventful recovery. Three months following surgery, visual acuity improved to 6/6 in both eyes with partial visual field recovery and was maintained at 10 months of follow-up. There was no recurrence or metastasis. Conclusion: A high degree of suspicion is required to screen for possible coexistent orbital or central nervous system pathology in cases of optic disc melanocytoma with disproportionate signs or symptoms.
机译：目的：报告一种罕见的光盘素细胞瘤与垂体腺瘤共存。方法：用脑和轨道的围绕和磁共振成像（MRI）进行眼科检查。结果：一名42岁的女性展示了6周龄右眼逐步减少的渐进视力。受影响的右眼的视力为6/60，左眼为6/6。在考试中，在右眼的视神经头上注意到棕色黑色病变。在围栏上，视野在右眼中收缩，并且在左眼中发现了优异的海拔缺陷。大脑和轨道的MRI揭示了垂体脑延伸的垂体腺瘤。患者接受内窥镜后垂体垂体腺瘤切除，恢复平面。手术后三个月，视力改善到两只眼中的6/6，部分视野恢复，并保持在10个月的随访中。没有复发或转移。结论：在具有不成比例的症状或症状的视神经骨髓细胞瘤的情况下，需要高度怀疑。

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