Nishio S, Tsukamoto H, Fukui M, Matsubara T
Department of Neurosurgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Neurosurg Rev. 1992;15(4):319-22. doi: 10.1007/BF00257817.
A patient with a remote history of nephrectomy for hypernephroma presented a visual field defect with hypopituitarism. Neuro-imaging studies showed a highly vascularized sellar mass with suprasellar extension. Surgery, which was performed via the subfrontal approach, disclosed the pituitary tumor to be a hypernephroma. Although anterior pituitary involvement is rare, chiasmal compression is much rarer in metastatic pituitary carcinomas, a review of previously reported cases of metastatic pituitary hypernephroma and our own case indicated that pituitary metastasis from this carcinoma, in contrast to other metastatic pituitary tumors, often mimics pituitary adenoma.
一名曾因肾上腺样瘤接受肾切除术的患者出现了伴有垂体功能减退的视野缺损。神经影像学研究显示蝶鞍区有一个血管丰富的肿块，并向鞍上延伸。经额下入路进行的手术发现垂体肿瘤为肾上腺样瘤。尽管垂体前叶受累罕见，但在转移性垂体癌中视交叉受压更为罕见，对先前报道的转移性垂体肾上腺样瘤病例及我们自己的病例进行回顾表明，与其他转移性垂体肿瘤相比，这种癌的垂体转移常类似垂体腺瘤。
