Sphenoid sinus aspergilloma in trans-sphenoidal surgery for pituitary adenomas.
Acta Neurochir (Wien) 2015;
157:1345-51; discussion 1351. [PMID:
26126762 DOI:
10.1007/s00701-015-2485-6]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Accepted: 06/16/2015] [Indexed: 11/27/2022]
Abstract
BACKGROUND
Simultaneous appearance of sphenoid sinus aspergilloma and pituitary adenoma is a very rare finding.
METHODS
Retrospective analysis of patients with sellar and sphenoid sinus mass lesions who underwent trans-sphenoidal surgery was performed. Demographic data, medical history, predisposing factors, clinical picture, neurological status and radiological findings were reviewed. All patients underwent a trans-sphenoidal microsurgical treatment, and acquired specimens underwent both histopathological and microbiological analysis.
RESULTS
Sphenoid sinus aspergilloma was encountered in seven patients. Three patients had an isolated sphenoid sinus aspergilloma and four patients with pituitary macroadenoma had a sphenoid aspergilloma as an incidental finding.
CONCLUSIONS
Sphenoid sinus aspergilloma can be found during trans-sphenoidal surgery for pituitary adenomas. Sphenoid sinus extirpation followed by adenomectomy is the treatment of choice unless invasive aspergilloma is encountered requiring additional antifungal therapy.
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