Pituitary metastasis of prostate cancer presenting as a unilateral third nerve palsy

BMJ Case Reports
Sajjad AhmadAndrew Lansdown

Abstract

A 60-year-old man presented with right third nerve palsy and headaches. Neuroimaging showed a pituitary lesion. There was evidence of rapid enlargement on interval scans, invasion of the cavernous sinus and displacement of the pituitary stalk. He subsequently developed anterior hypopituitarism. CT thorax, abdomen and pelvis did not show any evidence of malignancy. This was thought to be an aggressive pituitary macroadenoma but histology post-trans-sphenoidal surgery surprisingly showed metastasis from an undiagnosed prostate primary. His prostate specific antigen was raised and MRI pelvis confirmed locally advanced prostate cancer.

References

Aug 2, 2003·Urology·Nilesh PatelE Brian Butler
Feb 7, 2004·The Journal of Clinical Endocrinology and Metabolism·John KomninosNicolas C Thalassinos
Aug 12, 2009·Archives of Neurology·Markus J RiemenschneiderGuido Reifenberger
May 26, 2012·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Michael SidiropoulosKalman Kovacs
May 29, 2012·World Neurosurgery·Kalmon D Post
Jun 13, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Danit ArielLaurence Katznelson
Aug 25, 2018·Endocrine Connections·Aida JavanbakhtBehrouz Salehian

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Related Papers

Nature Clinical Practice. Endocrinology & Metabolism
Alastair WattBijay Vaidya
Endocrinology, Diabetes & Metabolism Case Reports
Ana M LopesCláudia Amaral
© 2022 Meta ULC. All rights reserved