Moreno-Perez O, Peiró F M, López P, Boix E, Meoro A, Serna-Candel C, Aranda F I, Picó A M
Department of Endocrinology and Nutrition, Alicante University General Hospital, Alicante, Spain.
J Endocrinol Invest. 2007 May;30(5):428-33. doi: 10.1007/BF03346322.
The differential diagnosis of sellar masses may be complex. Metastatic disease constitutes 1% of all pituitary lesions and sometimes mimics the clinical-radiological presentation of pituitary adenoma. The definitive diagnosis usually relies on histology, but occasionally even histological features of pituitary metastasis may resemble those of adenomas. We present a patient initially diagnosed with pituitary adenoma, but whose clinical course finally revealed pituitary metastasis of a hepatocellular carcinoma. The existing literature on this topic is reviewed.
鞍区肿物的鉴别诊断可能很复杂。转移性疾病占所有垂体病变的1%，有时会模仿垂体腺瘤的临床-放射学表现。明确诊断通常依赖于组织学检查，但偶尔垂体转移瘤的组织学特征也可能与腺瘤相似。我们报告一名最初被诊断为垂体腺瘤的患者，但其临床病程最终显示为肝细胞癌的垂体转移。本文对该主题的现有文献进行了综述。
