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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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Autores principales: Cheng, Yuanchen, Feng, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
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.
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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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