1. Pituitary metastasis of malignant melanoma misdiagnosed as pituitary adenoma: A case report and systematic review of the literature
- Author
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Sam Ng, Valentin Favier, Julien Boetto, Louis Crampette, Valérie Rigau, Gaëtan Poulen, Isabelle Raingeard, Service de Neurochirurgie [Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-CHU Gui de Chauliac [Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), CCSD, Accord Elsevier, and Institut des Neurosciences de Montpellier (INM)
- Subjects
MESH: Fatal Outcome ,Pituitary gland ,Dissémination leptoméningée ,[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery ,medicine.medical_treatment ,Endoscopic surgery ,Metastasis ,MESH: Magnetic Resonance Imaging ,Fatal Outcome ,0302 clinical medicine ,Positron Emission Tomography Computed Tomography ,Leptomeningeal carcinomatosis ,Melanoma ,Métastase ,MESH: Middle Aged ,Brain Neoplasms ,Transsphénoidal ,Middle Aged ,Magnetic Resonance Imaging ,3. Good health ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,MESH: Brain Neoplasms ,MESH: Diagnostic Errors ,Pituitary metastasis ,Female ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Radiology ,Adenoma ,medicine.medical_specialty ,MESH: Melanoma ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery ,03 medical and health sciences ,Pituitary adenoma ,Cerebrospinal fluid fistula ,medicine ,Humans ,Pituitary Neoplasms ,[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Hypophyse ,Diagnostic Errors ,MESH: Pituitary Neoplasms ,Mélanome ,Transsphenoidal surgery ,MESH: Adenoma ,MESH: Humans ,business.industry ,Chirurgie endoscopique ,Transsphenoidal ,medicine.disease ,Pituitary ,Surgery ,Neurology (clinical) ,MESH: Positron Emission Tomography Computed Tomography ,business ,MESH: Female ,030217 neurology & neurosurgery - Abstract
International audience; 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.
- Published
- 2020