Conclusion:
Pituitary lesions (mass/hyperplasia) on radiological findings can have
different interpretations. A systematic investigation combining
biochemical, clinical, and radiological evidence is essential before
initiating therapy. This approach helps prevent unnecessary surgical
interventions and avoids delays in necessary surgical treatments. Not
every pituitary mass represents an adenoma, particularly a prolactinoma;
hyperplasia or other types of pituitary cell adenomas should always be
considered as differential diagnoses. Although rare, TSHoma do exist,
distinguishing them from thyroid hormone resistance can be challenging.
In conclusion, a thorough, multi-faceted approach to diagnosing
pituitary lesions is essential for ensuring accurate treatment and
optimal patient outcomes .