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患者女,67岁。因头痛月余就诊。既往无头部外伤史,外院头颅CT提示鞍区肿块并骨质破坏,以“鞍区占位性病变”收本院治疗。体格检查:未见明显异常,神经系统无异常。实验室检查:睾酮91.40 ng/dL(女性正常值:14~76ng/dL);生长激素:4.970 ng/mL(参考值范围:<10.000);垂体泌乳素:7.36ng/mL(女性绝经期参考值:1.8~20.3 ng/mL)。影像学检查:CT矢状位可见蝶窦内等密度不规则肿块,CT值30 HU,窦壁变薄,局部缺损,枕骨斜坡骨质破坏(图1、2)。头颅MR平扫示蝶窦内不规则等T、长T信号,病变内
Female patient, 67 years old. For more than a month headache treatment. Past history without head trauma, head CT outside the hospital prompted the saddle area mass and bone destruction to “saddle area occupying lesions ” received the hospital for treatment. Physical examination: no obvious abnormalities, nervous system without exception. Laboratory tests: Testosterone 91.40 ng / dL (normal female: 14-76 ng / dL); growth hormone 4.970 ng / mL (reference range: <10.000); pituitary prolactin: 7.36 ng / mL Value: 1.8 to 20.3 ng / mL). Imaging examination: The CT sagittal shows an irregular density mass in the sphenoid sinus. The CT value is 30 HU. The sinus wall is thinner, and the local defect is caused by the destruction of the occipital bone (Figure 1 and 2). MR skull showed irregular sphenoid sinus T, T signal, the lesion