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Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review

BACKGROUND: Pituitary metastases (PMs) arising from breast cancer tend to occur many years following initial diagnosis, and after other systemic metastasis have been identified. Survival is generally considered to be poor. However, there are cases where patients present with an isolated metastatic l...

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Autores principales: Rasiah, Neilen P, Albakr, Abdulrahman, Kosteniuk, Suzanne, Starreveld, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609953/
https://www.ncbi.nlm.nih.gov/pubmed/36324911
http://dx.doi.org/10.25259/SNI_1053_2021
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author Rasiah, Neilen P
Albakr, Abdulrahman
Kosteniuk, Suzanne
Starreveld, Yves
author_facet Rasiah, Neilen P
Albakr, Abdulrahman
Kosteniuk, Suzanne
Starreveld, Yves
author_sort Rasiah, Neilen P
collection PubMed
description BACKGROUND: Pituitary metastases (PMs) arising from breast cancer tend to occur many years following initial diagnosis, and after other systemic metastasis have been identified. Survival is generally considered to be poor. However, there are cases where patients present with an isolated metastatic lesion in the pituitary. Survival in this subset of patients has not been evaluated. We present a case of isolated PM that presented two years after initial diagnosis of breast cancer. We performed a systematic review of 38 breast cancer patients with PM. We report presentation, treatment strategy, and outcomes of breast cancer metastasis to the pituitary and highlight cases of isolated PM. CASE DESCRIPTION: A 39 year old female presented with complaints of headache and polydipsia two years after diagnosis with breast cancer. Systemic workup was unremarkable, but brain imaging identified an isolated PM. Transsphenoidal debulking was performed with adjuvant radiation therapy (RT) targeted to the sellar region. Unfortunately, she passed away 9 months later from systemic progression. CONCLUSION: A total of 38 patients were included systematic review. Of these, 13 had isolated PM. Prevalent signs/ symptoms included visual disturbance, diabetes insipidus (DI), and hypothalamic dysfunction. Patients treated with surgical resection and adjuvant chemotherapy (ChT), or RT had better survival than those treated with resection alone. Patients that receive treatment for isolated PM may survive for many years without progression or recurrence.
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spelling pubmed-96099532022-11-01 Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review Rasiah, Neilen P Albakr, Abdulrahman Kosteniuk, Suzanne Starreveld, Yves Surg Neurol Int Case Report BACKGROUND: Pituitary metastases (PMs) arising from breast cancer tend to occur many years following initial diagnosis, and after other systemic metastasis have been identified. Survival is generally considered to be poor. However, there are cases where patients present with an isolated metastatic lesion in the pituitary. Survival in this subset of patients has not been evaluated. We present a case of isolated PM that presented two years after initial diagnosis of breast cancer. We performed a systematic review of 38 breast cancer patients with PM. We report presentation, treatment strategy, and outcomes of breast cancer metastasis to the pituitary and highlight cases of isolated PM. CASE DESCRIPTION: A 39 year old female presented with complaints of headache and polydipsia two years after diagnosis with breast cancer. Systemic workup was unremarkable, but brain imaging identified an isolated PM. Transsphenoidal debulking was performed with adjuvant radiation therapy (RT) targeted to the sellar region. Unfortunately, she passed away 9 months later from systemic progression. CONCLUSION: A total of 38 patients were included systematic review. Of these, 13 had isolated PM. Prevalent signs/ symptoms included visual disturbance, diabetes insipidus (DI), and hypothalamic dysfunction. Patients treated with surgical resection and adjuvant chemotherapy (ChT), or RT had better survival than those treated with resection alone. Patients that receive treatment for isolated PM may survive for many years without progression or recurrence. Scientific Scholar 2022-10-14 /pmc/articles/PMC9609953/ /pubmed/36324911 http://dx.doi.org/10.25259/SNI_1053_2021 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rasiah, Neilen P
Albakr, Abdulrahman
Kosteniuk, Suzanne
Starreveld, Yves
Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title_full Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title_fullStr Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title_full_unstemmed Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title_short Early and isolated breast cancer metastasis to the pituitary: A case report and systematic review
title_sort early and isolated breast cancer metastasis to the pituitary: a case report and systematic review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609953/
https://www.ncbi.nlm.nih.gov/pubmed/36324911
http://dx.doi.org/10.25259/SNI_1053_2021
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