Case Study: Rare and Largest Tumor Removed from A 63-Year-Old Woman’s Pituitary Gland
The distressed 63-year-old patient presented at Wockhardt Hospitals, Mira Road with symptoms such as persistent nasal blockage due to the diagnosis of Pituitary adenomas (benign tumors of the pituitary gland)
Mumbai: A team headed by Dr. Ashwin Borkar Consultant Neurosurgeon & Dr. Chandraveer Singh, Consultant Otorhinolaryngologist and Head & Neck OncoSurgeon at Wockhardt Hospitals, Mira Road successfully removed more than 7cm long Pituitary Gland Tumor from a 63-year-old woman’s nose and throat. Pituitary Gland Macroadenoma which was observed under a panoramic view, further was meticulously cleared by a Transnasal Transsphenoidal Surgery. After surgery on the tumor, all the symptoms such as nasal blockage, and headache experienced by the patient were resolved.
Mrs. Saleeba, a 63-year-old woman from Virar couldn’t perform her daily routine with ease due to constant nasal obstruction and suffered in silence for 15 months. She consulted various doctors who failed to provide her relief. Her health deteriorated further and she approached Wockhardt Hospitals, Mira Road for prompt intervention by Dr Chandraveer Singh and Dr. Ashwin Borkar.
Dr Chandraveer Singh said “This patient presented with persistent nasal obstruction, episodes of giddiness, loss of appetite, and occasional headaches without any past medical history. Initial examination revealed the presence of a big mass in the Nasopharynx. Her nasal endoscopy, CT scans and Paranasal Sinus computed Tomography (PNS) tests revealed a large pituitary tumor measuring 7.3 x 4 x4.9 cm, extending from the Brain to the frontal bone and encroaching upon the Nasopharynx. The patient was diagnosed with Pituitary Adenoma (a benign or noncancerous growth on the pituitary gland) with an unknown cause. Macroadenomas, larger adenomas measuring about 1 centimeter or more were spotted in this case. This tumor is rare and is seen in 5 per 1 lakh population. Witnessing such a large tumor was unusual, indicating the need for a delicate surgery as the tumor was also interfering with the patient’s ability to do the daily chores with ease.
Dr. Ashwin Borkar added, “An intricate endoscopic Tumor Excision Surgery was performed through the nose to remove the tumor from the pituitary gland. This Minimally Invasive procedure is carried out with the help of tiny instruments and an endoscope camera. The surgeon makes a small incision at the back of the nasal cavity for precise, safe, and accurate tumor removal without any scarring on the head. The surgery is efficacious, involves minimal risk of blood loss and infection, no post-operative pain or discomfort, and promotes faster recovery and healing without any harm to the nasal tissues. The uneventful surgery lasted for 3 hours. The patient was discharged after 5th day of surgery.
Not treating the patient at the right time could have led to complications like meningitis of the brain, nasal bleeding, and loss of vision. Through a successful surgery, the tumor was completely removed, while resolving all the symptoms experienced by the patient. The patient’s condition has improved post-surgery, followed by a smooth recovery. Wockhardt Hospitals, Mira Road tirelessly works to save lives with its world-class services, state-of-the-art technology, and expertise to ensure successful outcomes. This exemplary case will surely give hope to other patients struggling with such rare and life-threatening tumors who need immediate medical attention.”
Thanks to the limitless efforts of the doctors, I have got a fresh lease of life now and all the symptoms have vanished. I can now do my daily activities without trouble,” concluded Mrs Saleeba