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Updated: Aug 8, 2026

Preparation of Mouse Pituitary Immunogen for the Induction of Experimental Autoimmune Hypophysitis
Published on: December 17, 2010
[Hypopituitarism caused by colonic carcinoma metastasis associated with hypophysial aspergillosis]
G Stalldecker1, H A Molina, N Antelo
1Divisione Endocrinología, Hospital J. M. Ramos Mejía, Buenos Aires, Argentina.
Abstract:
Pituitary metastases constitute 1% to 8.3% of all metastatic brain tumors. The most frequent localization is in the posterior lobe and diabetes insipidus may be the only symptom of dysfunction. Cerebral aspergillosis is an unusual disease and it has been described complicating an underlying malignancy or following intracraneal surgery. We describe a case of hypopituitarism and hyperprolactinemia in a patient with pituitary metastases of a colon carcinoma and aspergillosis. Two years before a colon adenocarcinoma (Class C1 of Duke) had been resected. There were no clinical signs of hypopituitarism or galactorrea. The laboratory findings showed deficiency of cortocotropin (ACTH), luteinizing hormone (LH), follicle stimulating hormone (FSH) and slight hyperprolactinemia (PRL). Cerebral magnetic resonance image (MRI) revealed an intra and suprasellar mass which extended to the hypothalamus. Chest X-ray film and computed tomographic scanning (TC) confirmed a macronodular mass at the apical segment of the inferior left lung lobule with mediastinal hypertrophic lymph nodes. A non functional pituitary tumor was diagnosed and transphenoidal surgery was carried out. At microscopic examination a malignant proliferation was found suggesting colonic differentiation. Fragments of tumoral pituitary tissue showed hyphae of aspergillus in the form of abscess. Aspergillosis complicating neoplastic disease is more often present in leukemia and lymphoma than in solid tumors.(ABSTRACT TRUNCATED AT 250 WORDS)
Insights
This case study highlights a rare instance of pituitary metastases from colon cancer complicated by cerebral aspergillosis. The patient presented with hypopituitarism and hyperprolactinemia, demonstrating a complex interplay of neoplastic and infectious processes.
Area of Science:
- Endocrinology
- Neurology
- Oncology
Background:
- Pituitary metastases are rare, often affecting the posterior lobe and potentially causing diabetes insipidus.
- Cerebral aspergillosis is an uncommon infection, typically seen in immunocompromised individuals or post-neurosurgery.
- Colon adenocarcinoma is a common malignancy, but its metastasis to the pituitary gland is infrequent.
Observation:
- A patient with a history of colon adenocarcinoma presented with hypopituitarism and hyperprolactinemia.
- Cerebral MRI revealed an intra- and suprasellar mass with hypothalamic extension.
- Lung and lymph node imaging showed a mass consistent with metastatic disease.
Findings:
- Microscopic examination of the pituitary mass revealed colon adenocarcinoma metastasis.
- Evidence of Aspergillus hyphae within the pituitary tumor, forming abscesses, was identified.
- Laboratory tests indicated deficiencies in ACTH, LH, and FSH, with mild hyperprolactinemia.
Implications:
- This case underscores the importance of considering unusual metastatic patterns in oncology.
- The co-occurrence of pituitary metastasis and cerebral aspergillosis presents a diagnostic and therapeutic challenge.
- This highlights the need for comprehensive evaluation in patients with unexplained pituitary dysfunction and a history of malignancy.
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