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Year : 2002  |  Volume : 50  |  Issue : 4  |  Page : 490--3

Hemorrhagic necrosis of pituitary adenomas.

Department of Neurological Sciences, Christian Medical College and Hospital, Vellore - 632004, India., India

Correspondence Address:
A Chacko
Department of Neurological Sciences, Christian Medical College and Hospital, Vellore - 632004, India.
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Source of Support: None, Conflict of Interest: None

PMID: 12577104

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A clinicopathological study of 41 cases of pituitary apoplexy in a series of 324 surgically treated pituitary adenomas is presented. In 23 patients, the predominant operative finding was hemorrhage with or without necrosis. However, there were 15 (37.7%) cases where pale, necrotic tissue with no evidence of hemorrhage was found at surgery. Pale, necrotic material was particularly found when there was a long interval between the acute clinical event and surgery. It is concluded that the pale, necrotic debris represents one stage in the resorption process of blood after hemorrhagic necrosis of pituitary adenomas. This entity needs to be kept in mind especially since the material closely resemble the pultaceous material seen in craniopharyngiomas and epidermoid cysts.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow