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Nasal Hamartoma Associated With Duplicated Pituitary

Ginat, Daniel T. MD, MS*; Holbrook, Eric H. MD; Faquin, William MD, PhD; Curtin, Hugh D. MD§

Journal of Computer Assisted Tomography: May/June 2013 - Volume 37 - Issue 3 - p 369–370
doi: 10.1097/RCT.0b013e31828682c7
Neuroradiology

Abstract: Nasal hamartomas are rare congenital lesions. We describe a case of nasal hamartoma associated with pituitary duplication and other midline anomalies. A 40-year-old female with a history of breast cancer presented with nasal obstruction. Computed tomography and magnetic resonance imaging revealed a mass arising from the nasal septum, as well as duplication of the pituitary and a skull base canal that extended from the margin of the left pituitary fossa to the nasal mass. The mass was subsequently resected via a transnasal endoscopic approach and histology confirmed the presence of hamartoma. Nasal hamartomas are benign lesions that can be associated with other midline anomalies, such as duplicated pituitary, and can be managed conservatively.

From the *Department of Radiology, Massachusetts General Hospital (MGH); †Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (MEEI); ‡Department of Pathology, MGH; and §Department of Radiology, MEEI, Boston, MA.

Received for publication December 5, 2012; accepted December 12, 2012.

Reprints: Daniel T. Ginat, MD, MS, Department of Radiology, MGH, Boston, MA, 55 Fruit St, Boston, MA 02114 (e-mail: ginatd01@gmail.com).

The authors declare that they have no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins