Pituitary metastasis: is there still a place for neurosurgical treatment?
Fiche publication
Date publication
janvier 2016
Journal
Journal of neuro-oncology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr PROUST François
Tous les auteurs :
Gilard V, Alexandru C, Proust F, Derrey S, Hannequin P, Langlois O
Lien Pubmed
Résumé
Pituitary metastases are uncommon, ranging from 1 to 5 % of all metastases. Between 10 and 30 % of pituitary lesions are symptomatic responsible for diabetes insipidus, visual field defect or cranial nerve palsy. Primary sites are lung or breast in two-thirds of cases. There is no current reference concerning treatment of such lesions. Overall survival is poor and depends on primary site. Although the role of surgery is currently limited, discussion is warranted in several indications for diagnostic or symptomatic purposes. We report two cases of symptomatic pituitary metastases in a context of breast cancer and review the litterature concerning the role of surgery and other treatment modalities.
Mots clés
Pituitary gland- metastases, Surgical treatment
Référence
J Neurooncol. 2016 01;126(2):219-24