Metastatic colon cancer in the pituitary: A case report with review of literature

Abstract

We report a rare case of metastatic colonic adenocarcinoma to the pituitary gland in a 58-year-old who presented with visual decline and panhypopituitarism. He underwent urgent transsphenoidal endoscopic surgery with significant improvement of his vision, followed by adjuvant fractionated radiotherapy to the resection cavity. He made a satisfactory recovery, but regrettably died from COVID-19 9 weeks after completion of radiotherapy. A multidisciplinary approach is essential for optimal management of this condition due to its rarity and complexity.

Endoscopic endonasal transsphenoidal approach during COVID-19 pandemic in Brazil

“…Regarding surgical complications[ 12 , 19 ] of endoscopic skull base surgery, we presented a higher rate of general complications compared to a prepandemic meta-analysis including 779 patients of 20 retrospective case series. [ 8 ] The following complications observed in this case series compared to the meta-analysis were as follows: CSF leak (17.8% vs. 11.7%); diabetes insipidus (28.5% vs. 11.5%); and meningitis (3.5% vs. 1.8%), respectively.…”

Neuro-ophthalmological findings of pituitary metastasis: Case series from a single center and review of the literature

“…The cases without detailed neuro-ophthalmological examinations. Forty-four cases from 38 papers reported the presenting neuro-ophthalmological symptoms, such as visual field defects, vision loss, diplopia, and ophthalmoplegia, were selected [ 1 , 2 , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] ]. The patient information, including age, sex, the time elapsed from primary cancer to the diagnosis of PM, sites of metastasis, treatment, and survival time after diagnosis of PM, were collected ( Supplementary material ).…”