Craniopharyngioma occurring as a second primary tumor in a patient with acromegaly was successfully treated with surgery for cyst drainage, resulting in improved vision.
Case Report (n=1)
This is the first reported case of a craniopharyngioma as a second primary tumor in a patient with acromegaly, emphasizing the need for close long-term follow-up.
We present the first reported case of a craniopharyngioma as a second primary tumor in a patient with acromegaly due to a growth hormone (GH)-secreting pituitary adenoma. The patient was lost for follow-up for 18 years after trans-sphenoidal pituitary surgery for a GH-secreting pituitary adenoma. She presented with headaches and decreased visual acuity, and showed unsuppressed GH in an oral glucose load test with high IGF-1 levels. Brain MRI showed a suprasellar cystic mass and the patient underwent surgery for cyst drainage resulting in postoperative improvement in her vision. Biopsy of the mass confirmed the diagnosis of a craniopharyngioma. We stress the need for close follow-up of patients with acromegaly with adequate control of GH and IGF-1 levels.
Zhou et al. (Fri,) conducted a case report in Acromegaly and craniopharyngioma (n=1). Craniopharyngioma was evaluated on Diagnosis and symptom resolution. Craniopharyngioma occurring as a second primary tumor in a patient with acromegaly was successfully treated with surgery for cyst drainage, resulting in improved vision.
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