Koshiyama H, Ohgaki K, Hida S, Takasu K, Yumitori K, Shimatsu A, Koh T
Department of Medicine, Kyoto City Hospital, Japan.
J Endocrinol Invest. 1992 Oct;15(9):677-81. doi: 10.1007/BF03345815.
A 57-year-old man with pituitary metastasis from renal cell carcinoma is reported. He underwent right nephrectomy and total pancreatectomy for renal cell carcinoma and its pancreatic metastasis, respectively. Imaging studies showed an intrasellar mass lesion. The examination revealed panhypopituitarism, diabetes insipidus and bitemporal hemianospia. Metastatic renal cell carcinoma was diagnosed by the biopsy of the pituitary tumor. Metastatic renal cell carcinoma to the pituitary gland, which is extremely rare, appears to have unique features of presenting with hypopituitarism and visual disturbance more frequently than other metastatic pituitary tumors.
报道了一名57岁患有肾细胞癌垂体转移的男性患者。他分别因肾细胞癌及其胰腺转移接受了右肾切除术和全胰切除术。影像学检查显示鞍内有占位性病变。检查发现患者存在全垂体功能减退、尿崩症和双颞侧偏盲。通过垂体肿瘤活检诊断为转移性肾细胞癌。垂体转移性肾细胞癌极为罕见，与其他转移性垂体肿瘤相比，似乎更常表现为垂体功能减退和视觉障碍等独特特征。
