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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(04): 872-875
DOI: 10.4103/ajns.AJNS_52_21
Case Report

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

Kishan Karia
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
,
Sally-Ann Price
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
,
Wai Soon
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
,
Yasir Chowdhury
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
,
Kyaw Thant
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
,
Ruchika Batra
2   Department of Ophthalmology, Birmingham Neuro-ophthalmology Unit, Queen Elizabeth Hospital, Birmingham
,
Sara Meade
3   Department of Oncology, Queen Elizabeth Hospital, Birmingham
,
Niki Karavitaki
4   Department of Endocrinology, Queen Elizabeth Hospital Birmingham
5   Institute of Metabolism and Systems Research, University of Birmingham
6   Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham
,
Georgios Tsermoulas
1   Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham
5   Institute of Metabolism and Systems Research, University of Birmingham
6   Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham
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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.

Key-words:

Colorectal cancer - metastasis - pituitary - transsphenoidal endoscopic surgery

Financial support and sponsorship

Nil.




Publication History

Received: 25 May 2021

Accepted: 06 July 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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