BMJ Case Reports 2018; doi:10.1136/bcr-2018-225485
  • Images in…

Giant pituitary incidentaloma

  1. Olinda Marques1
  1. 1Department of Endocrinology, Hospital de Braga, Braga, Portugal
  2. 2Department of Neurosurgery, Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Claudia Matta-Coelho, claudiadmcoelho{at}
  • Accepted 18 June 2018
  • Published 11 July 2018


A 78-year-old woman, independent, with medical history of hypertension, dyslipidaemia and bilateral cataract surgery. The patient underwent a head CT after a traumatic brain injury where a giant pituitary incidentaloma of 60 mm in the largest diameter was found. The patient mentioned decreased left eye acuity for the past 20 years, with no complaints of headaches or diplopia. The physical examination was unremarkable with no stigmata of endocrine disease. Anterior pituitary hormonal profile was normal. Additional MRI showed an extensive infiltrative lesion, 60×40 mm, with cavernous and sphenoidal sinus invasion, suprasellar extension and left optic nerve encapsulation (figures 1 and 2). Visual …

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