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A correction has been published: N Engl J Med 1995;333(15):1018.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:441-447 August 17, 1995 Number 7
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Case 25-1995— A 44-year-old woman with headache, blurred vision, and an intrasellar mass
J.R. Garber, and E.T. Hedley-Whyte

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Presentation of Case

A 44-year-old woman was admitted to the hospital because of headache, blurred vision, and an intrasellar mass.

She had been well until nine months earlier, when a vaginal hysterectomy was performed because of uterine prolapse; no oophorectomy was performed. Three months before admission occipital headaches developed and persisted for five weeks. Seven weeks before admission a computed tomographic (CT) scan of the cranium (Figure 1) disclosed a slightly enlarged, homogeneously enhanced pituitary gland (height, 12 mm). The patient began to have nocturnal hot flashes and insomnia. Hormonal studies were performed (Table 1).


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Figure 1. Axial CT Image through . . . [Full Text of this Article]

 
Differential Diagnosis

Clinical Diagnosis

Dr. Jeffrey R. Garber's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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