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J Korean Neurosurg Soc. 2013 Aug;54(2):132-5. doi: 10.3340/jkns.2013.54.2.132. Epub 2013 Aug 31.

Differential diagnosis and management of a pituitary mass with renal cell carcinoma.

Journal of Korean Neurosurgical Society

Joo Min Hwang, Yong Hwy Kim, Tae Min Kim, Sung Hye Park

Affiliations

  1. Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

PMID: 24175029 PMCID: PMC3809440 DOI: 10.3340/jkns.2013.54.2.132

Abstract

The small pituitary mass was incidentally found in 40-years-old women with renal cell carcinoma. The endocrinological and ophthalmological evaluation revealed no deficit and the short-term follow-up was recommended. In 6 months later, the visual disturbance was reported and the size of mass was increased. The tumor was removed totally via the trans-sphenoid approach. The post-operative endocrinological insufficiency was not noticed. During one year of follow-up period, there was no evidence of recurrence without adjuvant radiotherapy. The clinical features of pituitary metastasis from renal cell carcinoma were similar to those of pituitary adenoma. The possibility of pituitary metastasis should be kept in mind in patients with sellar mass and renal cell carcinoma.

Keywords: Metastasis; Pituitary; Renal cell carcinoma

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