Pituitary metastasis of malignant melanoma misdiagnosed as pituitary adenoma: A case report and systematic review of the literature.
Chirurgie endoscopique
Dissémination leptoméningée
Endoscopic surgery
Hypophyse
Leptomeningeal carcinomatosis
Melanoma
Metastasis
Mélanome
Métastase
Pituitary
Transsphenoidal
Transsphénoidal
Journal
Neuro-Chirurgie
ISSN: 1773-0619
Titre abrégé: Neurochirurgie
Pays: France
ID NLM: 0401057
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
01
04
2020
revised:
17
05
2020
accepted:
13
06
2020
pubmed:
11
8
2020
medline:
8
5
2021
entrez:
11
8
2020
Statut:
ppublish
Résumé
We report a case of malignant melanoma revealed by a metastasis to the pituitary gland. The tumor was misdiagnosed as a pituitary adenoma and aggressive transsphenoidal surgery was complicated by a cerebrospinal fluid fistula. Nine weeks later, the patient presented multiple leptomeningeal and brain metastases spreading from the sellar region. Regarding these observations, we conducted a systematic review of the literature in order to investigate clinicoradiological features that should lead clinicians to suspect pituitary metastasis and how it should impact the surgical management.
Identifiants
pubmed: 32777231
pii: S0028-3770(20)30357-X
doi: 10.1016/j.neuchi.2020.06.129
pii:
doi:
Types de publication
Case Reports
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
383-390Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.