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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 12, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What’s your diagnosis?

    I’ll post the correct answer in about three days!

    DDx.JPG
     

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  2. dracomalfoy

    dracomalfoy Famous Member

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    Empty Sella Syndrome
     


  3. bb100

    bb100 Bronze Member

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    macroadenoma of hypophysis
     


  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Agree with dracomalfoy,ESS
     


  5. soha azab

    soha azab Famous Member

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    pitutary adenoma
     


  6. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Both the saggital and the coronal MRI images show a lesion in the pituitary fossa, most likely a hemorrhagic pituitary adenoma. Differential diagnosis includes a Rathke’s cleft cyst.

    Pituitary tumours are practically always benign. The are three hostological types of pituitary adenoma:

    1) chromophobe (70%, many are non-secretory)
    2) acidophil (15%, secrete GH or PRL)
    3) basophil (15%, secrete ACTH)
     


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