Pituitary metastases are a recognised manifestation of almost all tumours. There is a predilection of breast and lung cancers to metastasise to the pituitary. They may present with diabetes insipidus, panhypopituitarism and cranial nerve palsies. The radiological and clinical presentation of pituitary metastases have been characterised in the literature, although attempts to distinguish these from pituitary adenomas are still suboptimal. The treatment modalities available for pituitary metastases have also been broadened to include less invasive, more targeted surgery.
This poster will present a case of a pituitary metastases diagnosed following presentation to hospital several years after the resection of a renal cell carcinoma in an 82-year-old male with a pituitary mass. It was thought that it would be unlikely to be due to metastases due to the rarity of the diagnosis. Through a literature review, the presentations, diagnostic work-up and relative prevalence of pituitary metastases will be reviewed. Published case series provide insight to the potential treatments that may be considered for this condition.