The coexistence of simultaneous pituitary adenoma and intracranial tumor is frequent and is widely identified in patients who have had radiotherapy as treatment for adenoma, as well as patients with neurocutaneous syndromes, such as Neurofibromatosis, and patients with breast cancer and meningioma apparently due to hormonal influence.[[1] [2] [3]] However, the presence of pituitary adenoma simultaneous with intracranial tumor is very rare, especially as an adjacent lesion.[[1] [2] [3] [4] [5]]