Matskási István (szerk.): A Magyar Természettudományi Múzeum évkönyve 86. (Budapest 1994)
Józsa, L. ; Pap, I.: Hypophyseal tumour on a male skull from the 11-13th centuries period, Hungary
Antero-posterior and lateral X-ray pictures of this skull were taken. The thickness of cranial bones and the diameters and area of sella turcica were measured on these X-ray films. Radiological anatomic analysis: X-ray pictures of 40 healthy individuals (20 male and 20 female) aged 17-70 years (average age 38 years) provided recent control material. The patients were radiologically examined for possible cranial injuries in the National Institute of Traumatology. Eighteen (10 male and 8 female) ll-12lh century skulls were used for historical contemporary control. Control with hypophyseal tumour was provided by 8 operated patients (3 male, 5 female, 22-48 years old) with histologically verified pituitary adenoma. The X-ray pictures were furnished by courtesy of the National Institute of Neurosurgery. Sagittal diameter and depth (mm), and area (mm 2 ) of the sella were measured by the method of KÖHLER & ZIMMER (1956) on the X-ray films. RESULTS Three main types of sella turcica could be distinguished within the healthy recent and archeological control groups: round, parabolic and boat shaped (Table 1, Figs 1-3). Diameters of sellae varied within the previously^aiblished range (both on recent and on skeletal material). The areas of sellae are 87-137 mm with an average of 107.8 mm . A minimal difference (+4.2 mm) was found between males and females. Cases affected with hypophyseal tumour presented sellae of 182-406 mm area (Table 2, Figs 4-6). We found marked differences in the shape, contour and histological type of sellae. Eosinophilic adenoma produced irregular, "angular" contours, and chromophob cell tumour caused continuous arch-shaped deepening of sellae (Figs 4-6). Hyperostosis of maxillary antrum, a narrow and covered sinus maxillaris could be seen in the antero-posterior X-ray picture. Malar bones are built-up and hyperostotic. A significant 12 3 4 5 6 Figs 1-3. Shape of sella turcica in healthy controls (natural size): 1 - round, 2 = parabolic, 3 = boat shaped. - Figs 4-6. Shape of sella turcica in recent, adenoma afflicted patients and in the case discussed (natural size): 4 = chromophobic adenoma afflicted 36-year-old male, 5 = eosinophilic adenoma afflicted 28-year-old female, 6 - Mature age male from Csíkvár (11-13th centuries)
