Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature

Coexisting Pituitary Adenoma and Suprasellar Meningioma: A Coincidence or Causation Effect? Report of Two Cases and Review of Literature

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Background and Importance: The coexistence of pituitary adenoma and another type of brain tumor is a very rare clinical scenario.Even though such a presentation can be an sun decal for wall incidental event but the possible pathogenesis of coexistence of different lesions in the sella and suprasellar region has not yet been elucidated.Case Presentation: Two cases of concomitant sellar and suprasellar region tumors are reported.A 37-year-old lady with Prolactinoma and a suprasellar meningioma and a 42-year-old Acromegalic man with suprasellar meningioma and a pituitary adenoma (PA).Conclusion: Both meningiomas were removed transcranially while the Prolactinoma could be managed medically and the growth hormone (GH) secreting adenoma was removed trans-sphenoidally.

The visual problems and hormonal imbalances of both patients improved postoperatively and there has been no sign of recurrence of the lesions after willy wonka book week costume a mean of five years follow up.The literature is reviewed on this topic and the possible pathogenesis and management protocol of similar lesions are discussed.