垂体转移癌的临床诊治  

Clinical diagnosis and treatment of pituitary metastases

作　　者：徐相虎[1] 曹海英[2] 马建场 张成[1] 杜俊杰[1] 

机构地区：[1]中国人民解放军第八十二医院神经外科,江苏淮安223001 [2]中国人民解放军第八十二医院肿瘤科,江苏淮安223001

出　　处：《现代肿瘤医学》2014年第12期2839-2842,共4页Journal of Modern Oncology

摘　　要：目的:通过1例肺癌垂体转移病例报道,回顾分析本院另1例影像学诊断为垂体转移癌的病例,并复习相关文献,总结垂体转移癌的临床特点。方法:分析2例垂体转移癌的临床资料,整理复习近期国内外关于垂体转移癌的相关文献。结果:垂体转移癌患者临床表现多为尿崩、头痛、视物模糊等眼部症状,病情通常进展较快。影像学表现为鞍区骑跨鞍隔生长而呈"哑铃状"浸润性肿瘤。结论:患者出现垂体异常增大或伴有垂体病变的临床症状时,首先要考虑垂体转移,垂体转移癌病人预后极差。Objective： To summary the clinical features of pituitary metastasis in order to improve the diagnostic accuracy of neoplasm metastasis of pituitary gland. Methods： To report a case of pituitary gland metastasis from lung cancer,retrospectively analyse another pituitary metastasis case by imaging diagnosis in our hospital and review the domestic and international literatures. Results： Diabetes insipidus,headache,blurred vision and other eye symptoms were often seen in neoplasm metastasis of pituitary gland. The disease is usually rapid progress. Imaging studies displayed that the lesions straddle sellae diaphragma in saddle area and showed infiltrative growth patterns,liking ＂ dumbbell- shaped＂. Conclusion： For cancer patients,if the pituitary abnormally increase or accompanied by clinical symptoms of pituitary disease,we must consider the pituitary metastasis,the prognosis is poor.

关 键 词：恶性肿瘤 垂体转移癌 诊断 治疗 

分 类 号：R730.6[医药卫生—肿瘤]