Coexistence of Pituitary Macroadenoma and Dacryoadenitis: A Complex Presentation in a Patient.

Abstract

Pituitary adenomas are slow-growing, benign tumors of the anterior pituitary gland. While their small size usually makes their presence unknown, macroadenomas may cause clinical symptoms due to their mass effect. Dacryoadenitis is inflammation of the lacrimal gland, usually associated with infection. This case report details the clinical assessment and diagnostic journey of a 57-year-old male farmer, J.M., presenting with a constellation of symptoms including bilateral visual deterioration, persistent headaches, and left eye protrusion. Clinical examinations, imaging studies, and histological findings culminated in the identification of a coexisting pituitary macroadenoma and dacryoadenitis. This report highlights the challenges in diagnosing and managing such intricate presentations and emphasizes the necessity of interdisciplinary collaboration for accurate diagnosis and tailored treatment plans. Advancements in minimally invasive surgical techniques and targeted medical therapies have significantly improved patient outcomes and reduced treatment-related morbidity. Future practice should focus on early recognition and effective management of these complex presentations to enhance patient quality of life.