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KMID : 0356619930080010088
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Journal of Korean Society of Endocrinology
1993 Volume.8 No. 1 p.88 ~ p.93
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A Case of Pituitary Metastasis from Periampullary Carcinoma
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신은택
이은직/김경래/이경미/배희동/이관식/정윤석/안광진/임승길
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Abstract
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ABSTRACT
@EN Pituitary metastais is a rare condition of distant metastasis of systemic cancer. Pituitary metastasis may present headache, hypopituitarism, and diabetes insipidus resulting from metastatic site. We report a 42 year-old man with pituitary
metastasis from periampullary adenocarcinoma who developed diplopia following headache and impotence. He also had widespread node metastasis. Diagnosis was made by endoscopy with biopsy, abdominal ultrasonogram, abdominal CT scan, and brain CT
scan.
Brain CT scan showed tumor in the pituitary gland with invasion into sphenoid bone and cavernous sinus. Light microscopic findings revealed moderately differentiated adenocarcinoma in periampullary mass, and metastatic adenocarcinoma in the
cevical
lymph node. The combined pituitary stimulation test showed decreased reserve capacity of pituitary hormones.
We report a case of pituitary metastasis from periampullary adenocarcinoma with the review of the literature. (J Kor Endocrinol 8:88~93, 1993).
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KEYWORD
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