case_images: PMC9982051_01
case_images: Preoperative T1-weighted MRI with gadolinium contrast illustrates a right-sided pituitary macroadenoma in an otherwise empty sella. (A) Axial, (B) coronal, and (C) sagittal plane images are displayed. . MRI, magnetic resonance imaging.
case_images: cureus-0015-00000034471-i01.jpg
case_images: PMC9982051_01_cureus-0015-00000034471-i01.jpg
case_images: FIG1
case_images: Magnetic resonance imaging (MRI) showed a 1.4 x 1.1 x 1.4 cm macroadenoma within the right aspect of the pituitary gland in an otherwise empty sella (Figure 1).
case_images: Surgical pathology shows a mixed somatotroph and gonadotroph pituitary adenoma. A. Hematoxylin & eosin staining. B. Growth hormone immunohistochemistry staining. C. PIT1 immunohistochemistry staining.
case_images: cureus-0015-00000034471-i02.jpg
case_images: PMC9982051_01_cureus-0015-00000034471-i02.jpg
case_images: FIG2
case_images: Pathology confirmed that the tumor was a mixed somatroph and gonadotroph pituitary adenoma (Figure 2).
case_images: Postoperative T1-weighted MRI with gadolinium contrast demonstrates complete adenoma resection. (A) Axial, (B) coronal, and (C) sagittal plane images are displayed. . MRI, magnetic resonance imaging.
case_images: cureus-0015-00000034471-i03.jpg
case_images: PMC9982051_01_cureus-0015-00000034471-i03.jpg
case_images: FIG3