Metastasis within a pituitary adenoma presenting with bilateral abducens palsies: case report and review of the literature.
A 56-year-old woman with metastatic breast carcinoma presented on her terminal hospital admission with diplopia secondary to bilateral abducens nerve palsies. Postmortem examination revealed a sellar mass composed of an unsuspected pituitary adenoma infiltrated by metastatic carcinoma. Review of the literature revealed only seven patients with this rare neoplasm-to-neoplasm metastasis, none of whom were reported to have had abducens palsies.
Zager
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Neurosurgical Service, Massachusetts General Hospital, Boston.
Hedley-Whyte
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D000010:Abducens Nerve; D000236:Adenoma / Q000473:pathology*; D001943:Breast Neoplasms; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000556:secondary*; D003389:Cranial Nerve Diseases / Q000209:etiology; D004172:Diplopia / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000556:secondary*