Metastatic Colon Cancer in the Pituitary: A Case Report with Review of Literature

Kishan Karia; Sally-Ann Price; Wai Cheong Soon; Yasir Arafat Chowdhury; Kyaw Zayar Thant; Ruchika Batra; Sara Meade; Niki Karavitaki; Georgios Tsermoulas

doi:10.4103/ajns.AJNS_52_21

Metastatic Colon Cancer in the Pituitary: A Case Report with Review of Literature

Asian J Neurosurg. 2021 Dec 18;16(4):872-875. doi: 10.4103/ajns.AJNS_52_21. eCollection 2021 Oct-Dec.

Authors

Affiliations

¹ Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.
² Department of Ophthalmology, Birmingham Neuro-ophthalmology Unit, Queen Elizabeth Hospital, Birmingham, UK.
³ Department of Oncology, Queen Elizabeth Hospital, Birmingham, UK.
⁴ Department of Endocrinology, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
⁵ Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
⁶ Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK.

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.

Keywords: Colorectal cancer; metastasis; pituitary; transsphenoidal endoscopic surgery.

Publication types

Case Reports