Case Report: Pituitary metastasis as a presenting manifestation of silent gastric cardia adenocarcinoma.

ABSTRACT:

Introduction

Pituitary metastases are very rare in cancer patients and often originate from lung or breast tumors. They usually occur in patients with known metastatic disease, but rarely may be the first presentation of the primary tumor.

Methods

We present the case of a 58 years-old-man who reported a three-month history of polyuria-polydipsia syndrome, generalized asthenia, panhypopituitarism and bitemporal hemianopsia. Brain-MRI showed a voluminous pituitary mass causing posterior sellar enlargement and compression of the surrounding structures including pituitary stalk, optic chiasm, and optic nerves.

Results

The patient underwent neurosurgical removal of the mass. Histological examination revealed a poorly differentiated adenocarcinoma of uncertain origin. A tot

SUBMITTER: Ghezzi A 

PROVIDER: S-EPMC9846627 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature