TY - JOUR A2 - Usui, Takeshi AU - González Bóssolo, Alex AU - Mangual Garcia, Michelle AU - Davila, Kyrmarie AU - Brau, Ricardo AU - Sanchez Ortiz, Javier AU - Hernan Martinez，我们报告了一例34岁的西班牙裔男性患者，其表现为8个月的多尿病史和性欲下降。评估显示垂体功能低下、中枢性尿崩症和垂体柄病变。未发现肿瘤或炎症/浸润性疾病的证据。我们用类固醇疗法保守地治疗病人。然而，由于疾病进展，经蝶窦手术获得组织进行病理分析。组织病理学显示为鞍内生殖细胞瘤，免疫化学证实。由于局部疾病，开始放射治疗，临床得到改善。本病例强调了组织病理学分析的重要性;对于许多医生，一个年轻男性垂体柄病变的表现创造了一个临床难题。 Although the most common etiologies are an inflammatory or secondary neoplasm, the possible presence of an intrasellar neoplasm should not be ruled out. In many cases, imaging characteristics and tumor markers may aid in the diagnosis without the need of an aggressive diagnostic approach. However, in this case, histopathological analysis was the only way to make a correct diagnosis and provide adequate treatment for the patient. SN - 2090-6501 UR - https://doi.org/10.1155/2018/1746917 DO - 10.1155/2018/1746917 JF - Case Reports in Endocrinology PB - Hindawi KW - ER -