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OCR: in Fig. A macroadenoma during surgery is sho ass effect 4.10. The patient in the example had a r shows the with bitemporal hemianopia. The figur g the dura, large tumour immediately upon openi ved (Fig. before any of the tumour has been rem y excised 4.10(a)), as well as the tumour complete g. 4.10(b)), leaving the thin pituitary gland intact (I d, is the The bluish structure, anterior to the gla val of a diaphragma sellae. In this case, the rem with moderately large adenoma was achieve preservation of the gland.