Unusual spontaneous resolution of a nonfunctioning pituitary macroadenoma: A case report

This case highlights complete spontaneous regression of a symptomatic macroadenoma without apoplexy, possibly influenced by postpartum hormonal factors. Although surgical decompression remains the standard treatment for lesions causing chiasmal compression, this exceptional case demonstrates that, in rare situations where surgery is declined, repeat imaging and close monitoring may reveal unexpected regression. Careful multidisciplinary evaluation is essential to balance the risks of waiting against the potential for spontaneous resolution.