Pituitary Apoplexy Caused by Hemorrhage From Pituitary Metastatic Melanoma: Case Report
Melanoma metastases to the pituitary gland are extremely rare, with only a few reported cases. We report an unusual case of pituitary metastatic melanoma in which the patient presented with pituitary apoplexy. A 68-year-old man presented general fatigue and anorexia following sudden headache. Neurol...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2013, Vol.53(10), pp.695-698 |
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| container_title | Neurologia medico-chirurgica |
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| creator | MASUI, Katsuya YONEZAWA, Taiji SHINJI, Yukei NAKANO, Ryo MIYAMAE, Seisuke |
| description | Melanoma metastases to the pituitary gland are extremely rare, with only a few reported cases. We report an unusual case of pituitary metastatic melanoma in which the patient presented with pituitary apoplexy. A 68-year-old man presented general fatigue and anorexia following sudden headache. Neurological examination disclosed bitemporalhemianopsia. Computed tomography (CT) scans revealed a suprasellar mass including intratumoral hematoma. Magnetic resonance (MR) images demonstrated a circumscribed mass lesion in the intra- and suprasellar regions, compressing the optic chiasm. Surgical exploration was performed through a transsphenoidal approach, and a mixture of tumor and necrotic tissue with old hematoma was obtained. The histological examination of the specimen revealed a partly necrotic, malignant tumor with focal melanotic pigmentation. Histopathologically, the diagnosis was consistent with pituitary apoplexy caused by hemorrhage from pituitary metastatic melanoma. |
| doi_str_mv | 10.2176/nmc.cr2012-0068 |
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We report an unusual case of pituitary metastatic melanoma in which the patient presented with pituitary apoplexy. A 68-year-old man presented general fatigue and anorexia following sudden headache. Neurological examination disclosed bitemporalhemianopsia. Computed tomography (CT) scans revealed a suprasellar mass including intratumoral hematoma. Magnetic resonance (MR) images demonstrated a circumscribed mass lesion in the intra- and suprasellar regions, compressing the optic chiasm. Surgical exploration was performed through a transsphenoidal approach, and a mixture of tumor and necrotic tissue with old hematoma was obtained. The histological examination of the specimen revealed a partly necrotic, malignant tumor with focal melanotic pigmentation. Histopathologically, the diagnosis was consistent with pituitary apoplexy caused by hemorrhage from pituitary metastatic melanoma.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.cr2012-0068</identifier><identifier>PMID: 24077271</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Aged ; Case Report ; Gastroscopy ; Hemianopsia - etiology ; Humans ; Hypophysectomy ; Magnetic Resonance Imaging ; Male ; melanoma ; Melanoma - blood supply ; Melanoma - complications ; Melanoma - secondary ; Melanoma - surgery ; metastasis ; Necrosis ; Neoplasms, Unknown Primary - diagnosis ; Neoplasms, Unknown Primary - pathology ; pituitary ; pituitary apoplexy ; Pituitary Apoplexy - etiology ; Pituitary Neoplasms - blood supply ; Pituitary Neoplasms - complications ; Pituitary Neoplasms - secondary ; Pituitary Neoplasms - surgery ; Stomach Neoplasms - diagnosis ; Stomach Neoplasms - pathology ; Tomography, X-Ray Computed ; transsphenoidal approach</subject><ispartof>Neurologia medico-chirurgica, 2013, Vol.53(10), pp.695-698</ispartof><rights>2013 by The Japan Neurosurgical Society</rights><rights>2013 The Japan Neurosurgical Society 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c744t-cb6c9936f0aeb7fc1e84001772fc82073c9bc7dfe89f718696d6d0d62582f8b03</citedby><cites>FETCH-LOGICAL-c744t-cb6c9936f0aeb7fc1e84001772fc82073c9bc7dfe89f718696d6d0d62582f8b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508751/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508751/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1881,4022,27922,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24077271$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MASUI, Katsuya</creatorcontrib><creatorcontrib>YONEZAWA, Taiji</creatorcontrib><creatorcontrib>SHINJI, Yukei</creatorcontrib><creatorcontrib>NAKANO, Ryo</creatorcontrib><creatorcontrib>MIYAMAE, Seisuke</creatorcontrib><creatorcontrib>Osaka Police Hospital</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><title>Pituitary Apoplexy Caused by Hemorrhage From Pituitary Metastatic Melanoma: Case Report</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>Melanoma metastases to the pituitary gland are extremely rare, with only a few reported cases. We report an unusual case of pituitary metastatic melanoma in which the patient presented with pituitary apoplexy. A 68-year-old man presented general fatigue and anorexia following sudden headache. Neurological examination disclosed bitemporalhemianopsia. Computed tomography (CT) scans revealed a suprasellar mass including intratumoral hematoma. Magnetic resonance (MR) images demonstrated a circumscribed mass lesion in the intra- and suprasellar regions, compressing the optic chiasm. Surgical exploration was performed through a transsphenoidal approach, and a mixture of tumor and necrotic tissue with old hematoma was obtained. The histological examination of the specimen revealed a partly necrotic, malignant tumor with focal melanotic pigmentation. Histopathologically, the diagnosis was consistent with pituitary apoplexy caused by hemorrhage from pituitary metastatic melanoma.</description><subject>Aged</subject><subject>Case Report</subject><subject>Gastroscopy</subject><subject>Hemianopsia - etiology</subject><subject>Humans</subject><subject>Hypophysectomy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>melanoma</subject><subject>Melanoma - blood supply</subject><subject>Melanoma - complications</subject><subject>Melanoma - secondary</subject><subject>Melanoma - surgery</subject><subject>metastasis</subject><subject>Necrosis</subject><subject>Neoplasms, Unknown Primary - diagnosis</subject><subject>Neoplasms, Unknown Primary - pathology</subject><subject>pituitary</subject><subject>pituitary apoplexy</subject><subject>Pituitary Apoplexy - etiology</subject><subject>Pituitary Neoplasms - blood supply</subject><subject>Pituitary Neoplasms - complications</subject><subject>Pituitary Neoplasms - secondary</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach Neoplasms - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>transsphenoidal approach</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1v1DAQxS0EoqvSMzeUI5e0_ortcECqVt0WqQiEQBwtx5nsukrixU4Q-98zS8pSLralefOb53mEvGb0kjOtrsbBX_rEKeMlpco8IysmZF0ayuvnZEWlpqVhtDojFzmHhlIujRRGvyRnXFKtuWYr8v1zmOYwuXQorvdx38OvQ7F2c4a2aA7FHQwxpZ3bQrFJcSj-iT_C5PLkpuDx2bsxDu4dNmYovsA-pukVedG5PsPF431Ovm1uvq7vyvtPtx_W1_el11JOpW-Ur2uhOuqg0Z1nYCSlDM113nCqha8br9sOTN1pZlStWtXSVvHK8M40VJyT9wt3PzcDtB7GKbne7lMY0KaNLtj_K2PY2W38aWVFja4YAt4-AlL8MUOe7BCyhx7_BHHOllVCGmaEVii9WqQ-xZwTdKcxjNpjIhYTsUsi9pgIdrx56u6k_7t_FNwuAqwG7_o49mEE-xDnNOLarG_ZCHMCi0yBzErgKERbqurqeBjOuFJSI2mzkB4wli2cRrmEGfXwx1oljk7xfOLxJPA7lyyM4jfFNLhy</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>MASUI, Katsuya</creator><creator>YONEZAWA, Taiji</creator><creator>SHINJI, Yukei</creator><creator>NAKANO, Ryo</creator><creator>MIYAMAE, Seisuke</creator><general>The Japan Neurosurgical Society</general><general>THE JAPAN NEUROSURGICAL SOCIETY</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>2013</creationdate><title>Pituitary Apoplexy Caused by Hemorrhage From Pituitary Metastatic Melanoma: Case Report</title><author>MASUI, Katsuya ; YONEZAWA, Taiji ; SHINJI, Yukei ; NAKANO, Ryo ; MIYAMAE, Seisuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c744t-cb6c9936f0aeb7fc1e84001772fc82073c9bc7dfe89f718696d6d0d62582f8b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Case Report</topic><topic>Gastroscopy</topic><topic>Hemianopsia - etiology</topic><topic>Humans</topic><topic>Hypophysectomy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>melanoma</topic><topic>Melanoma - blood supply</topic><topic>Melanoma - complications</topic><topic>Melanoma - secondary</topic><topic>Melanoma - surgery</topic><topic>metastasis</topic><topic>Necrosis</topic><topic>Neoplasms, Unknown Primary - diagnosis</topic><topic>Neoplasms, Unknown Primary - pathology</topic><topic>pituitary</topic><topic>pituitary apoplexy</topic><topic>Pituitary Apoplexy - etiology</topic><topic>Pituitary Neoplasms - blood supply</topic><topic>Pituitary Neoplasms - complications</topic><topic>Pituitary Neoplasms - secondary</topic><topic>Pituitary Neoplasms - surgery</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Stomach Neoplasms - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>transsphenoidal approach</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MASUI, Katsuya</creatorcontrib><creatorcontrib>YONEZAWA, Taiji</creatorcontrib><creatorcontrib>SHINJI, Yukei</creatorcontrib><creatorcontrib>NAKANO, Ryo</creatorcontrib><creatorcontrib>MIYAMAE, Seisuke</creatorcontrib><creatorcontrib>Osaka Police Hospital</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MASUI, Katsuya</au><au>YONEZAWA, Taiji</au><au>SHINJI, Yukei</au><au>NAKANO, Ryo</au><au>MIYAMAE, Seisuke</au><aucorp>Osaka Police Hospital</aucorp><aucorp>Department of Neurosurgery</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pituitary Apoplexy Caused by Hemorrhage From Pituitary Metastatic Melanoma: Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2013</date><risdate>2013</risdate><volume>53</volume><issue>10</issue><spage>695</spage><epage>698</epage><pages>695-698</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>Melanoma metastases to the pituitary gland are extremely rare, with only a few reported cases. We report an unusual case of pituitary metastatic melanoma in which the patient presented with pituitary apoplexy. A 68-year-old man presented general fatigue and anorexia following sudden headache. Neurological examination disclosed bitemporalhemianopsia. Computed tomography (CT) scans revealed a suprasellar mass including intratumoral hematoma. Magnetic resonance (MR) images demonstrated a circumscribed mass lesion in the intra- and suprasellar regions, compressing the optic chiasm. Surgical exploration was performed through a transsphenoidal approach, and a mixture of tumor and necrotic tissue with old hematoma was obtained. 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| ispartof | Neurologia medico-chirurgica, 2013, Vol.53(10), pp.695-698 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aged Case Report Gastroscopy Hemianopsia - etiology Humans Hypophysectomy Magnetic Resonance Imaging Male melanoma Melanoma - blood supply Melanoma - complications Melanoma - secondary Melanoma - surgery metastasis Necrosis Neoplasms, Unknown Primary - diagnosis Neoplasms, Unknown Primary - pathology pituitary pituitary apoplexy Pituitary Apoplexy - etiology Pituitary Neoplasms - blood supply Pituitary Neoplasms - complications Pituitary Neoplasms - secondary Pituitary Neoplasms - surgery Stomach Neoplasms - diagnosis Stomach Neoplasms - pathology Tomography, X-Ray Computed transsphenoidal approach |
| title | Pituitary Apoplexy Caused by Hemorrhage From Pituitary Metastatic Melanoma: Case Report |
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