Calcification of pituitary adenomas as a histopathologic finding is re
ported in up to 25% of all degenerated adenomas. On the other hand, os
sification of these adenomas is an extremely rare finding, with only o
ne reported case, a prolactinoma. Here, we report a case of somatotrop
inoma in a 42-year-old acromegalic female. The adenoma, about 2 cm in
diameter, was removed by the transsphenoidal route. Pathologic examina
tion revealed ossification areas in the adenoma and the patient showed
dramatic progress with relief of acromegaly signs and normalization o
f serum growth hormone levels. This case seems to be a unique report o
f osteoid metaplasia of a somatotropinoma.