Endonasal endoscopic resection of a cystic pituitary adenoma

In this video, neurosurgeon Eze Goldschmidt, MD, PhD and head & neck cancer surgeon Ivan El-Sayed, MD perform an endonasal endoscopic resection of a cystic pituitary adenoma in a 58-year-old man who presented with severe vision loss. The MRI revealed a large sellar mass, which was diagnosed as a pituitary adenoma.

“The endoscope allowed us to see the entire extension of the tumor,” Goldschmidt said. “We first removed the calcified parts, then dissected the tumor from the cavernous sinus and removed it completely to decompress the optic chiasm.”

The patient’s vision returned to normal after the surgery, and a postoperative MRI showed complete removal of the lesion.

“Pituitary adenomas are relatively common,” Goldschmidt said. “We have removed many of them using the endonasal approach.”

For more information about Dr. Ezequiel Goldschmidt, MD, PhD, visit: https://www.ucsfhealth.org/pro....viders/dr-ezequiel-g

To contact UCSF Health's physician's referral services, visit: https://www.ucsfhealth.org/for....-health-professional