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2011 | 6 | 4 | 475-479
Tytuł artykułu

Diabetes insipidus due to pituitary metastasis in a woman with lung adenocarcinoma: a case report

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Metastatic tumors of the pituitary are uncommon and usually asymptomatic. They are often incidental findings from imaging workups for other medical issues or from the assessment of primary tumors in other locations. Diabetes insipidus is the most common symptom resulting from pituitary tumors, including pituitary metastases. A 56-year-old woman with primary lung adenocarcinoma underwent video-assisted thoracic bilobectomy. Regular follow-up was unremarkable until 15 months after surgery, when she presented with polyuria and polydipsia suggestive of diabetes insipidus. A pituitary mass was found on brain magnetic resonance imaging; the diagnosis of lung adenocarcinoma metastasized to the pituitary was confirmed by trans-sphenoidal surgery and biopsy of the pituitary mass. Diabetes insipidus and hormonal profiles are the key to recognize the existence of pituitary metastases, and patients with primary lung cancers presenting with diabetes insipidus should be evaluated for pituitary metastases.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
6
Numer
4
Strony
475-479
Opis fizyczny
Daty
wydano
2011-08-01
online
2011-06-01
Twórcy
  • Department of Surgery, Cheng Hsin General Hospital, 11220, Taipei, Taiwan, oodaoda@gmail.com
  • Department of Radiation Oncology, Cheng Hsin General Hospital, 11220, Taipei, Taiwan
  • Department of Pathology, Cheng Hsin General Hospital, 11220, Taipei, Taiwan
  • Department of Surgery, Cheng Hsin General Hospital, 11220, Taipei, Taiwan
Bibliografia
  • [1] McCormick P.C., Post K.D., Kandji A.D., Hays A.P., Metastatic carcinoma to the pituitary gland, Br J Neurosurg., 1989, 3, 71–80 http://dx.doi.org/10.3109/02688698909001028[Crossref]
  • [2] Komninos J., Vlassopoulou V., Protopapa D., Korfias S., Kontogeorgos G., Sakas D.E., et al., Tumors metastatic to the pituitary gland: case report and literature review, J Clin Endocrinol Metab., 2004, 89, 574–580 http://dx.doi.org/10.1210/jc.2003-030395[Crossref]
  • [3] Rajput R., Bhansali A., Dutta P., Gupta S.K., Radotra B.D., Bhadada S., Pituitary metastasis masquerading as non-functioning pituitary adenoma in a woman with adenocarcinoma lung, Pituitary., 2006, 9, 155–157 http://dx.doi.org/10.1007/s11102-006-8326-0[Crossref]
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  • [5] Nelson P.B., Robinson A.G., Martinez A.J., Metastatic tumor of the pituitary gland, Neurosurgery., 1987, 21, 941–944 http://dx.doi.org/10.1227/00006123-198712000-00030[Crossref]
  • [6] Krol T.C., Wood W.S., Bronchogenic carcinoma and diabetes insipidus: case report and review, Cancer., 1982, 49, 596–599 http://dx.doi.org/10.1002/1097-0142(19820201)49:3<596::AID-CNCR2820490332>3.0.CO;2-8[Crossref]
  • [7] Morita A., Meyer F.B., Laws E.R. Jr., Symptomatic pituitary metastases, J Neurosurg., 1998, 89, 69–73 http://dx.doi.org/10.3171/jns.1998.89.1.0069[Crossref]
  • [8] Marin F., Kovacs K.T., Scheithauer B.W., Young W.F. Jr., The pituitary gland in patients with breast carcinoma: a histologic and immunocytochemical study of 125 cases, Mayo Clin Proc., 1992, 67, 949–956 [Crossref][PubMed]
  • [9] Teears R.J., Silverman E.M., Clinicopathologic review of 88 cases of carcinoma metastatic to the pituitary gland, Cancer., 1965, 36, 216–220 http://dx.doi.org/10.1002/1097-0142(197507)36:1<216::AID-CNCR2820360123>3.0.CO;2-E[Crossref]
  • [10] Branch C.L. Jr., Laws E.R. Jr., Metastatic tumors of the sella tunica masquerading as primary pituitary tumors, J Clin Endocrinol Metab., 1987, 65, 469–474 http://dx.doi.org/10.1210/jcem-65-3-469[Crossref]
  • [11] Chandra V., McDonald L.W., Anderson R.J., Metastatic small cell carcinoma of the lung presenting as pituitary apoplexy and Cushing’s syndrome, J Neurooncol., 1984, 2, 59–66 http://dx.doi.org/10.1007/BF00165159[Crossref]
  • [12] Sanno N., Teramoto A., Osamura R.Y., Genka S., Katakami H., Jin L., et al., A growth hormonereleasing hormone-producing pancreatic islet cell tumor metastasized to the pituitary is associated with pituitary somatotroph hyperplasia and acromegaly, J Clin Endocrinol Metab., 1997, 82, 2731–2737 http://dx.doi.org/10.1210/jc.82.8.2731[Crossref]
  • [13] Jerome Marson V., Mazieres J., Groussard O., Garcia O., Berjaud J., Dahan M., et al., Expression of TTF-1 and cytokeratins in primary and secondary epithelial lung tumours: correlation with histological type and grade, Histopathology., 2004, 45, 125–134 http://dx.doi.org/10.1111/j.1365-2559.2004.01893.x[Crossref]
  • [14] Coons S.W., Estrada S.I., Gamez R., White W.L., Cytokeratin CK 7 and CK 20 expression in pituitary adenomas, Endocr Pathol., 2005, 16, 201–210 http://dx.doi.org/10.1385/EP:16:3:201[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-011-0040-2
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