title: A case of pituitary metastasis from breast cancer that presented as left visual disturbance.
abstract: Tumors that metastasize to the pituitary gland are unusual, and are typically seen in elderly patients with diffuse malignant disease. The most common metastases to the pituitary are from primary breast and lung cancers. We report a 65-year-old woman with pituitary metastasis from breast cancer who presented with recent-onset left progressive deterioration of visual acuity and visual field. The clinical diagnosis was made after brain and sellar magnetic resonance imaging showed a large sellar mass compressing the optic chiasm and invading the pituitary stalk. An otorhinolaryngology and neurosurgery team removed the tumor via a transsphenoidal approach, and this procedure obtained symptomatic relief. Postoperatively, metastasis from breast invasive ductal adenocarcinoma was confirmed histologically. We report this unusual case with a review of the relevant literature.
authors.affiliation: Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Young Ha
authors.initials: YH
authors.lastname: Kim
authors.forename: Beom Jun
authors.initials: BJ
authors.lastname: Lee
authors.forename: Kyung Jin
authors.initials: KJ
authors.lastname: Lee
authors.forename: Jin Hee
authors.initials: JH
authors.lastname: Cho