Not all sellar masses are macroadenomas: think also in metastasis

Paulo Victor Sgobbi de Souza, Wladimir Bocca Vieira de Rezende Pinto, Adrialdo José dos Santos
2014 Arquivos de Neuro-Psiquiatria  
A 54-year-old woman presented with a 3-month-history of blurred vision and refractory headache. Examination revealed severe bilateral visual acuity compromise, normal campimetry and bilateral papilledema. As a mean to investigate raised intracranial pressure, neuroimaging studies were performed and showed extensive sellar mass (Figure) . Patient underwent transsphenoidal approach for resection of pituitary mass which disclosed metastasis of neuroendocrine lung tumor. Chest CT showed a mass in
more » ... showed a mass in the anterior segment of right lower lobe of lung. Although symptomatic pituitary gland tumors are common in clinical practice 1 , metastatic disease represent a rare cause of sellar tumors, mainly of breast and lung primary origin 2 .
doi:10.1590/0004-282x20140161 pmid:25410465 fatcat:hhpep3bmp5f5dpj7mqzpwbgjoq