An unusual pituitary mass revealing a primary hypothyroidism!

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Amal Moumen *
Azzelarab Meftah
Hamza El jadi
Souad Elmoussaoui
Ghizlaine Belmejdoub
(*) Corresponding Author:
Amal Moumen | moumen2105@gmail.com

Abstract

Autoimmune hypothyroidism is a common medical condition. Its revelation by thyrotrophic hyperplasia is an unusual and may be misdiagnosed as a pituitary adenoma. A 35-year-old man is referred to us for endocrinological assessment before surgery of a pituitary macroadenoma with bitemporal hemianopsia. Biological data reveal profound primary hypothyroidism. With thyroid hormone substitution, the thyroid function was normalized. Follow-up magnetic resonance imaging, showed the complete shrinkage of the pituitary mass attesting of a thyrotrophic pituitary hyperplasia. This case highlights the importance of a multidisciplinary assessment of pituitary masses to avoid unnecessary surgery and to prevent consequences of sellar masses.

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