Pituitary metastasis from bronchogenic adenocarcinoma

Chuang Wei Chen, Yung Hsiao Chiang, Cheng Yu Chen, Herng Sheng Lee, Yih Huei Su

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Tumor metastases to the pituitary gland are a rare complication of systemic cancer. We described a 64-year-old male with pituitary metastasis from bronchogenic adenocarcinoma. The patient had undergone the first course of chemotherapy and local radiotherapy for the lung cancer. However, he suffered from rapid onset of adrenal insufficiency accompanied by the sequentially progressive headache, blurred vision, polyuria, and polydipsia. The examination revealed the results of panhypopituitarism, bitemporal hemianopsia, and diabetes insipidus. Magnetic resonance image showed an intrasellar and suprasellar dumbbell-shaped mass. Metastatic bronchogenic adenocarcinoma was diagnosed by biopsy of the pituitary tumor. Metastatic tumors to the pituitary gland can mimic a nonfunctional pituitary adenoma or other sellar lesions in clinical presentation and imaging. The endoscopic transsphenoidal approach provides for minimal invasive surgery for tissue biopsy and decompression, and improves the quality of life in symptomatic patients.

Original languageEnglish
Pages (from-to)153-156
Number of pages4
JournalJournal of Medical Sciences (Taiwan)
Volume25
Issue number3
Publication statusPublished - Jun 2005
Externally publishedYes

Fingerprint

Adenocarcinoma
Pituitary Neoplasms
Pituitary Gland
Neoplasm Metastasis
Polydipsia
Hemianopsia
Biopsy
Polyuria
Neoplasms
Adrenal Insufficiency
Diabetes Insipidus
Decompression
Headache
Lung Neoplasms
Magnetic Resonance Spectroscopy
Radiotherapy
Quality of Life
Drug Therapy
Combined Pituitary Hormone Deficiency

Keywords

  • Bronchogenic adenocarcinoma
  • Panhypopituitarism
  • Pituitary gland metastasis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pituitary metastasis from bronchogenic adenocarcinoma. / Chen, Chuang Wei; Chiang, Yung Hsiao; Chen, Cheng Yu; Lee, Herng Sheng; Su, Yih Huei.

In: Journal of Medical Sciences (Taiwan), Vol. 25, No. 3, 06.2005, p. 153-156.

Research output: Contribution to journalArticle

Chen, Chuang Wei ; Chiang, Yung Hsiao ; Chen, Cheng Yu ; Lee, Herng Sheng ; Su, Yih Huei. / Pituitary metastasis from bronchogenic adenocarcinoma. In: Journal of Medical Sciences (Taiwan). 2005 ; Vol. 25, No. 3. pp. 153-156.
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