乳腺癌垂体转移1例报告

目的通过报道1例乳腺癌垂体转移病例，结合相关文献，总结垂体转移癌的临床特点，以提高对垂体转移癌的认识和诊断水平。方法分析解放军第222医院1例确诊为乳腺癌垂体转移患者的临床资料，整理近期国内外关于垂体转移癌的相关文献。结果垂体转移癌十分罕见，多来源于乳腺癌和肺癌，缺乏特征性影像学表现，以尿崩症、视神经损害和垂体前叶功能障碍为主要临床表现，与腺瘤的主要鉴别要点是具有侵袭性。结论对于生长迅速、侵袭性强、同时影响垂体前后叶功能的鞍区肿瘤需注意和垂体转移癌相鉴别。

A case report of pituitary gland metastasis from breast carcinoma

Objective To prove the diagnostic accuracy of neoplasm metastasis of pituitary gland. Methods To report a case of pituitary gland metastasis from breast carcinoma and review the interrelated articles. Results Neoplasm metastasis of pituitary gland was rare. The original tumors from breast or lung were in the majority. Diabetes inspidus,impairment of optic nerves and hypopituitarism were often seen in the cases, without specific images on CT or MRI. The main point of identification between pituitary gland metastasis and pituitary adenoma is invasiveness. Conclusion Pituitary tumor should be discriminated with metastasis tumor, which has characteristic in rapid growth, strong invasiveness as well as involvement in both anterior lobe and posterior lobe.