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[Pituitary metastases in patients with prior neoplasms].

Authors: Itziar, Frago Marquínez; Clara, Fuentes Gómez; Gonzalo, Maldonado Castro; Nagore, Puelles Emaldibarra; Sonia, San Miguel López de Uralde; Jon, Echeveste Aizpurua; Gorka, Arroita González;

[Pituitary metastases in patients with prior neoplasms].

Abstract

The pituitary is an uncommon site for metastases. We report three cases of patients with a history of cancer (breast and lung) who presented with symptoms of headache, ophthalmoplegia, fatigue, diabetes insipidus, nausea, and vomiting. Cranial magnetic resonance imaging was performed, revealing sellar masses with infiltration of the adjacent tissues compatible with pituitary metastases in all three patients. In two of the patients, hormonal analyses were performed, which showed anterior pituitary insufficiency (thyroid-stimulating hormone and adrenocorticotropic hormone deficiency), symptoms which improved with hormone replacement therapy. Other treatments applied were surgery, radiotherapy and chemotherapy, which show no association with increased survival rates but are able to improve symptoms. The prognosis in all patients was poor. The patients developed further metastases and two died soon after diagnosis. Pituitary function study should be performed in patients with a previous neoplasm and symptoms compatible with hormonal dysfunction or local compressive symptoms.

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Keywords

Adult, Lung Neoplasms, Hormone Replacement Therapy, Carcinoma, Ductal, Breast, Palliative Care, Headache, Breast Neoplasms, Adenocarcinoma, Middle Aged, Prognosis, Fatal Outcome, Antineoplastic Combined Chemotherapy Protocols, Diplopia, Humans, Female, Pituitary Neoplasms, Cranial Irradiation, Diabetes Insipidus, Aged

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Powered by OpenAIRE graph
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
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