Ayşe Nur TORUN, Hasan ÇEÇE, Mehmet Ali EREN, Fuat TORUN, Tevfik SABUNCU

Hipofizer Makrodenom Tanısı Konulan Primer Hipotiroidizme Bağlı Hipofizer Hiperplazi Türkçe

Primer hipotiroidizm ile hipofizer hiperplazi, arasındaki ilişki oldukça iyi bilinse de, hipotiroid bir olgunun hipofiz hiperplazisine bağlı klİnik semptomları ile fark edilmesi nadir bir durumdur. Yazımızda baş ağrısı nedeniyle değerlendirilirken hipofizer kitle saptanan ve sonrasında hipotiroid de olduğu fark edildiğinden hipofizer hiperplazi olası tanısı ile izlenen bir olgu sunulmuştur. Olguda saptanan hipofizer kitlenin levotiroksin tedavisi ile radyolojik olarak küçüldüğü gösterilmiştir. Primer hipotiroidizme bağlı hipofizer hiperplazi ko-insidental hipofiz adenomları ile karışabilir. Radyolojik olarak hipofiz adenomu-hiperplazisi ayırımı yapmak oldukça güçtür. Ayırıcı tanıda hastanın klinik öyküsü, hormonal parametreler ve kitlenin levotiroksin replasmanı ile küçüldüğünün radyolojik olarak gösterilmesi önemlidir

Anahtar Kelimeler:

Hashimoto tiroiditi, primer hipotiroidizm, hipofizer makroadenom, hipofizer hiperplazi

Pituitary Hyperplasia Due to Primary Hypothyroidism Which Diagnosed as Pituitary Macroadenoma

Although the association of pituitary hyperplasia and primary hypothyroidism is well known, recognition of hypothyroidism due to pituitary hyperplasia is a rare occurence.We report a case of a probable pituitary hyperplasia who complaint with headache, and found to have pituitary hyperplasia during evaluation of headache and co-incidental hypothyroidism. Pituitary mass image has been shrinked with levothyroxin therapy.Pituitary hyperplasia due to primary hypothyroidism can be confused with coincidental pituitary adenomas. Radiological distinction between hyperplasia and adenomas is difficult. Patient history, hormonal parameters and radiological regression of the mass image with levothyroxin therapy are important clues in differential diagnosis

Keywords:

Hashimoto thyroiditis, primary hypothyroidism, pitutiary macroadenoma, pituitary hyperplasia,

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