Pituitary metastasis from lung adenocarcinoma:A case report  

作　　者：Qing Wang Xiao-Wei Liu Ke-Yu Chen 

机构地区：[1]Department of Critical Care Medicine,Chengdu First People’s Hospital,Chengdu 610000,Sichuan Province,China [2]Department of Neurosurgery,Chengdu Second People's Hospital,Chengdu 610017,Sichuan Province,China [3]Department of the First Clinical Medical College,Lanzhou University,Lanzhou 730000,Gansu Province,China [4]Evidence Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,Gansu Province,China

出　　处：《World Journal of Clinical Cases》2024年第15期2597-2605,共9页世界临床病例杂志

摘　　要：BACKGROUND Pituitary gland metastasis is an unusual event,and pituitary metastasis from lung adenocarcinoma is extremely rare and associated with poor prognosis.To date,approximately 15 cases have been reported.CASE SUMMARY Here,we present the case of a 64-year-old woman with pituitary metastasis derived from lung adenocarcinoma,which was difficult to distinguish from other sellar tumors.The patient presented to the neurosurgery clinic with blurred vision and intermittent headache.During hospitalization,brain computed tomography(CT)and magnetic resonance imaging revealed a pituitary macroadenoma.Chest CT revealed irregular nodules in the basal segment of the lower lobe of the left lung,which were likely lung cancer.Positron emission tomography-CT revealed a carbohydrate metabolism tumor in the lungs and sellar region,which was considered malignant.Postoperative pathological examination of the sellar tumor revealed lung adenocarcinoma.CONCLUSION Excision of pituitary metastases combined with radiotherapy and chemotherapy should be a priority treatment for patients with pituitary metastasis.

关 键 词：Pituitary metastasis Lung adenocarcinoma PROLACTIN Sellar region tumors Case report 

分 类 号：R734.2[医药卫生—肿瘤]