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18F-FDG PET/CT检查发现的罕见的右肺腺癌垂体转移

Rare Pituitary Metastasis from Adenocarcinoma of Right Lung in F FDG PET/CT.

作者信息

Mandal Srijani, Subudhi T Kishan, Kannur Santosh C, Parida Girish Kumar, Nayak Manoj Kumar, Patro P Sai Sradha, Agrawal Kanhaiyalal

机构信息

Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

出版信息

Indian J Nucl Med. 2025 May-Jun;40(3):178-180. doi: 10.4103/ijnm.ijnm_25_25. Epub 2025 Aug 7.

DOI:10.4103/ijnm.ijnm_25_25
PMID:40927147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12416595/
Abstract

Lung cancer is the leading cause of cancer and cancer-related deaths, and India ranks the fourth highest country. Lung cancer is a highly aggressive malignancy with a tendency for rapid progression, making early detection and prompt treatment essential for improving patient outcomes. Lung cancer can spread locally into surrounding tissue as well as travel through lymphatics to other parts of the body, most often to bone, brain, liver, and adrenal glands. Metastasis to pituitary and pineal glands is extremely rare. The differential diagnosis for pituitary metastasis could be pituitary adenoma where lesion usually lies at the anterior aspect of pituitary fossa, whereas metastasis is seen at the posterior aspect. There is a paucity of published literature, with only a few cases reported of pituitary and pineal gland metastasis. Hence, to add to the literature, we present a case of pituitary metastasis in an older woman with lung cancer.

摘要

肺癌是癌症及癌症相关死亡的主要原因,印度在肺癌发病率方面位列第四。肺癌是一种极具侵袭性的恶性肿瘤,具有快速进展的趋势,因此早期检测和及时治疗对于改善患者预后至关重要。肺癌可局部扩散至周围组织,也可通过淋巴管转移至身体其他部位,最常见的是骨骼、大脑、肝脏和肾上腺。转移至垂体和松果体极为罕见。垂体转移瘤的鉴别诊断可能为垂体腺瘤,其病变通常位于垂体窝前部,而转移瘤则见于后部。已发表的文献较少,仅有少数垂体和松果体转移的病例报道。因此,为丰富文献资料,我们报告一例老年女性肺癌患者发生垂体转移的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/08b3192ae3c4/IJNM-40-178-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/26878b57ba64/IJNM-40-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/429c33bd044a/IJNM-40-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/f20461c45df3/IJNM-40-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/08b3192ae3c4/IJNM-40-178-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/26878b57ba64/IJNM-40-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/429c33bd044a/IJNM-40-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/f20461c45df3/IJNM-40-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bea/12416595/08b3192ae3c4/IJNM-40-178-g004.jpg

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本文引用的文献

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Metastasis of lung adenocarcinoma to the pituitary gland.肺腺癌转移至垂体。
Radiol Case Rep. 2023 Aug 2;18(10):3487-3491. doi: 10.1016/j.radcr.2023.07.025. eCollection 2023 Oct.
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Twelve cases of pituitary metastasis: a case series and review of the literature.十二例垂体转移瘤:病例系列及文献复习。
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