Metastatic colon cancer in the pituitary: A case report with review of literature

Kishan Karia; Sally-Ann Price; Wai Soon; Yasir Chowdhury; Kyaw Thant; Ruchika Batra; Sara Meade; Niki Karavitaki; Georgios Tsermoulas

doi:10.4103/ajns.AJNS_52_21

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(04): 872-875
DOI: 10.4103/ajns.AJNS_52_21

Case Report

Metastatic colon cancer in the pituitary: A case report with review of literature

Kishan Karia

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

,

Sally-Ann Price

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

,

Wai Soon

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

,

Yasir Chowdhury

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

,

Kyaw Thant

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

,

Ruchika Batra

²Department of Ophthalmology, Birmingham Neuro-ophthalmology Unit, Queen Elizabeth Hospital, Birmingham

,

Sara Meade

³Department of Oncology, Queen Elizabeth Hospital, Birmingham

,

Niki Karavitaki

⁴Department of Endocrinology, Queen Elizabeth Hospital Birmingham

⁵Institute of Metabolism and Systems Research, University of Birmingham

⁶Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham

,

Georgios Tsermoulas

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham

⁵Institute of Metabolism and Systems Research, University of Birmingham

⁶Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham

› Author Affiliations

Abstract

We report a rare case of metastatic colonic adenocarcinoma to the pituitary gland in a 58-year-old who presented with visual decline and panhypopituitarism. He underwent urgent transsphenoidal endoscopic surgery with significant improvement of his vision, followed by adjuvant fractionated radiotherapy to the resection cavity. He made a satisfactory recovery, but regrettably died from COVID-19 9 weeks after completion of radiotherapy. A multidisciplinary approach is essential for optimal management of this condition due to its rarity and complexity.

Key-words:

Colorectal cancer - metastasis - pituitary - transsphenoidal endoscopic surgery

Full Text

References

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