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A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review
Presence of pituitary metastases (PMs) is a relatively rare clinical situation, especially when originating from hepatocellular carcinoma (HCC). A 73-year-old man presented with headaches, diplopia, and soon impaired vision, as well as gastrointestinal symptoms. Computed tomography (CT) and magnetic...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413550/ https://www.ncbi.nlm.nih.gov/pubmed/37576890 http://dx.doi.org/10.3389/fonc.2023.1227678 |
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author | Cheng, Yuanchen Feng, Ming |
author_facet | Cheng, Yuanchen Feng, Ming |
author_sort | Cheng, Yuanchen |
collection | PubMed |
description | Presence of pituitary metastases (PMs) is a relatively rare clinical situation, especially when originating from hepatocellular carcinoma (HCC). A 73-year-old man presented with headaches, diplopia, and soon impaired vision, as well as gastrointestinal symptoms. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain revealed a space-occupying mass in the sellar region. The patient had a history of hepatocellular carcinoma and recent abdominal ultrasound and positron emission tomography (PET) indicated recurrence and metastases. Endoscopic transnasal transsphenoidal tumor excision was performed, and postoperative pathological report confirmed the diagnosis of HCC PM. In the literature review, 17 published cases of HCC PMs were summarized. Both the diagnosis and management of HCC PMs are difficult. Patients who had HCC-related history and new-onset headaches or diplopia should be inspected with a suspicion of metastatic lesions. Surgical intervention with transnasal endoscope is only recommended to ameliorate the symptoms and improve the life quality. |
format | Online Article Text |
id | pubmed-10413550 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104135502023-08-11 A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review Cheng, Yuanchen Feng, Ming Front Oncol Oncology Presence of pituitary metastases (PMs) is a relatively rare clinical situation, especially when originating from hepatocellular carcinoma (HCC). A 73-year-old man presented with headaches, diplopia, and soon impaired vision, as well as gastrointestinal symptoms. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain revealed a space-occupying mass in the sellar region. The patient had a history of hepatocellular carcinoma and recent abdominal ultrasound and positron emission tomography (PET) indicated recurrence and metastases. Endoscopic transnasal transsphenoidal tumor excision was performed, and postoperative pathological report confirmed the diagnosis of HCC PM. In the literature review, 17 published cases of HCC PMs were summarized. Both the diagnosis and management of HCC PMs are difficult. Patients who had HCC-related history and new-onset headaches or diplopia should be inspected with a suspicion of metastatic lesions. Surgical intervention with transnasal endoscope is only recommended to ameliorate the symptoms and improve the life quality. Frontiers Media S.A. 2023-07-27 /pmc/articles/PMC10413550/ /pubmed/37576890 http://dx.doi.org/10.3389/fonc.2023.1227678 Text en Copyright © 2023 Cheng and Feng https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Cheng, Yuanchen Feng, Ming A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title | A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title_full | A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title_fullStr | A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title_full_unstemmed | A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title_short | A rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
title_sort | rare case of pituitary metastasis from hepatocellular carcinoma: case report and literature review |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413550/ https://www.ncbi.nlm.nih.gov/pubmed/37576890 http://dx.doi.org/10.3389/fonc.2023.1227678 |
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