Giant Invasive Pituitary Adenoma Differential Diagnosis and Therapeutic Management (A Case Report and Literature Review)

Giant pituitary adenomas represent a significant surgical and diagnostic challenge; giant pituitary adenomas with a development that goes beyond the sella can be difficult to manage surgically due to the narrowness of the space and the proximity of important anatomical structures which are at risk according to the surgical approach and its extension in the cavum with absence of endocrine sign can be misinterpreted as cancer of the cavum which was the case for our patient refer to the neurosurgery department after 3 inconclusive biopsies by nasofibroscopy and after visual deterioration.