Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Pituitary Metastasis of Bronchial Carcinoid Tumor Mimicking Pituitary Adenoma: a Case Report

  • Lee, Ju Yeon (Department of Radiology, Eulji University Hospital, Eulji University College of Medicine) ;
  • Kim, Ha Youn (Department of Radiology, Eulji University Hospital, Eulji University College of Medicine) ;
  • Yu, In Kyu (Department of Radiology, Eulji University Hospital, Eulji University College of Medicine) ;
  • Kim, Seong Min (Department of Neurosurgery, Eulji University Hospital, Eulji University College of Medicine) ;
  • Son, Hyun-Jin (Department of Pathology, Eulji University Hospital, Eulji University College of Medicine)
  • Received : 2021.02.22
  • Accepted : 2021.05.18
  • Published : 2021.09.30
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Abstract

Tumors that metastasize to the pituitary gland are unusual and metastasis of neuroendocrine neoplasm to the sellar region is extremely rare. We report a 59-year-old man with pituitary metastasis from pulmonary carcinoid tumor who presented with left progressive deterioration of visual field. Sellar dynamic magnetic resonance imaging revealed an enhancing sellar mass invading the left cavernous sinus. We report this unusual case with a review of the relevant literature.

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References

  1. Siqueira PF, Mathez AL, Pedretti DB, Abucham J. Pituitary metastasis of lung neuroendocrine carcinoma: case report and literature review. Arch Endocrinol Metab 2015;59:548-553 https://doi.org/10.1590/2359-3997000000139
  2. Moshkin O, Rotondo F, Scheithauer BW, et al. Bronchial carcinoid tumors metastatic to the sella turcica and review of the literature. Pituitary 2012;15:160-165 https://doi.org/10.1007/s11102-012-0388-6
  3. Jonnakuty CG, Mezitis SG. Pulmonary atypical carcinoid tumor with metastatic involvement of the pituitary gland causing functional hypopituitarism. Endocr Pract 2007;13:291-295 https://doi.org/10.4158/EP.13.3.291
  4. Huang MC, Lee LS, Ho DM, et al. A metastatic pituitary carcinoid tumor successfully treated with gamma knife radiosurgery. Zhonghua Yi Xue Za Zhi (Taipei) 2001;64:414-418
  5. Shimon I, Hadani M, Nass D, Zwas ST. Malignant bronchial carcinoid tumor metastatic to the pituitary in a thyroid carcinoma patient: successful treatment with surgery, radiotherapy and somatostatin analog. Pituitary 2004;7:51-57 https://doi.org/10.1023/B:PITU.0000044627.63261.b4
  6. Rossi ML, Bevan JS, Fleming KA, Cruz-Sanchez F. Pituitary metastasis from malignant bronchial carcinoid. Tumori 1988;74:101-105 https://doi.org/10.1177/030089168807400118
  7. Nasr C, Mason A, Mayberg M, Staugaitis SM, Asa SL. Acromegaly and somatotroph hyperplasia with adenomatous transformation due to pituitary metastasis of a growth hormone-releasing hormone-secreting pulmonary endocrine carcinoma. J Clin Endocrinol Metab 2006;91:4776-4780 https://doi.org/10.1210/jc.2006-0610
  8. Abe T, Matsumoto K, Iida M, Hayashi M, Sanno N, Osamura RY. Malignant carcinoid tumor of the anterior mediastinum metastasis to a prolactin-secreting pituitary adenoma: a case report. Surg Neurol 1997;48:389-394 https://doi.org/10.1016/S0090-3019(97)00002-5
  9. Park YW, Ahn SJ. Comparison of contrast-enhanced T2 FLAIR and 3D T1 black- blood fast spin-echo for detection of leptomeningeal metastases. Investig Magn Reson Imaging 2018;22:86-93 https://doi.org/10.13104/imri.2018.22.2.86
  10. Komninos J, Vlassopoulou V, Protopapa D, et al. Tumors metastatic to the pituitary gland: case report and literature review. J Clin Endocrinol Metab 2004;89:574-580 https://doi.org/10.1210/jc.2003-030395
  11. Schubiger O, Haller D. Metastases to the pituitary--hypothalamic axis. An MR study of 7 symptomatic patients. Neuroradiology 1992;34:131-134 https://doi.org/10.1007/BF00588159
  12. Goglia U, Ferone D, Sidoti M, et al. Treatment of a pituitary metastasis from a neuroendocrine tumour: case report and literature review. Pituitary 2008;11:93-102 https://doi.org/10.1007/s11102-007-0038-6