Kawamura J, Tsukamoto K, Yamakawa K, Tazima K, Tochigi H
Department of Urology, Mie University School of Medicine, Tsu, Japan.
Urol Int. 1991;46(2):217-20. doi: 10.1159/000282139.
We report a 41-year-old man with bladder cancer who developed polyuria following successful treatment of hypercalcemia and who was found to have a transitional cell carcinoma within the pituitary gland at autopsy. He also had widespread bone metastases. Although primary urogenital cancers rarely metastasize to the pituitary, the patient's clinical course led us to suspect metastatic disease from the bladder cancer. Metastasis to the pituitary gland is more common than generally thought and should be considered in patients with advanced cancer who develop polyuria and polydipsia.
我们报告一名41岁的膀胱癌男性患者,其高钙血症成功治疗后出现多尿,尸检发现垂体有移行细胞癌。他还伴有广泛的骨转移。尽管原发性泌尿生殖系统癌症很少转移至垂体,但该患者的临床病程使我们怀疑为膀胱癌转移所致。垂体转移比一般认为的更为常见,对于晚期癌症出现多尿和烦渴的患者应考虑到这一点。