TRANSSPHENOIDAL
HYPOPHYSECTOMY
44-year-old man presents for transsphenoidal
hypophysectomy with marked features of acromegaly. The patient reports
increasing shoe size, glove size, and worsen-ing sleep apnea. Magnetic
resonance imaging (MRI) revealed a pituitary mass. Laboratory findings are
within normal limits with the exception of serum glucose of 170 mg/dL. The
patient denies any allergies or medica-tions. Past surgical history includes
carpal tunnel release bilaterally. He denies other medical problems.
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