Table 5 Final diagnosis, lateralization, MRI results, and management
Case number | Diagnosis | MRI | Lateralization according to MRI | Lateralization according to inter-sinus ratio | Lateralization at the time of surgery | IHC | Management |
|---|---|---|---|---|---|---|---|
1 | CD | 3 mm Rt. adenoma | Rt. | Rt. | Rt. | ACTH + pituitary adenoma | TSS |
2 | CD | 5.5 mm Rt. and 2.5 mm Lt. adenoma | Bilateral | Lt. | Bilateral | ACTH + pituitary adenoma | TSS |
3 | CD | 3.8 mm Rt. adenoma | Rt. | Rt. | Rt. | ACTH + pituitary adenoma | TSS |
4 | CD | Lt. side enhancement | Lt. | Rt. | Rt. | corticotroph adenoma | TSS |
5 | CD | 6 mm Rt. adenoma and 4.5 mm LLL nodule | Bilateral | Rt. | Rt. | ACTH + pituitary adenoma | TSS |
6 | CD | 4 mm Lt. adenoma and 4 mm RUL nodule | Bilateral | Lt. | Lt. | ACTH + pituitary adenoma | TSS |
7 | recurrent CD | 13 mm Rt. low signal pituitary Mass | Rt. | Rt | Rt. | ACTH + pituitary adenoma | TSS |
8 | recurrent CD | partially empty sella | Equivocal | Lt. | ACTH - Pituitary Mass | TSS | |
9 | EAS | empty sella | Equivocal | Equivocal | Medical treatment | ||
10 | EAS | 1.9 mm Rt. pituitary Lesion & LLL mass | Bilateral | Equivocal | ACTH + carcinoid tumor of the lung | Lung lobectomy | |
11 | EAS | possible pituitary adenoma and adrenal mass | Equivocal | Equivocal | Pheochromocytoma | bilateral adrenalectomy |