Non-functioning pituitary carcinoma: Case report and literature review.

Int J Surg Case Rep

Department of Endocrinology-Diabetology and Nutrition, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, University of Mohammed 1st, Oujda, Morocco; Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, University of Mohammed first, Oujda, Morocco. Electronic address:

Published: June 2023

AI Article Synopsis

  • Non-functional pituitary carcinoma is a rare type of tumor that spreads without causing hormonal overproduction, and few cases have been documented.
  • A case study highlighted a 48-year-old woman who experienced spinal pain and was found to have non-functional pituitary carcinoma after surgery and examination.
  • Distinguishing between non-functional pituitary adenomas and carcinomas is difficult, and managing these tumors usually requires a combination of surgery, chemotherapy, and radiotherapy.

Article Abstract

Introduction And Importance: Non-functional pituitary carcinoma is a rare neuroendocrine tumor. It is characterized by the presence of cerebrospinal or distant metastasis of an adenohypophysis tumor without any hypersecretion. Only a few cases of non-functional pituitary carcinomas have been reported in the literature.

Case Presentation: In this paper, we report the case of a 48-year-old female patient who presented with spinal pain and a mass facing the second thoracic vertebrae. Spinal magnetic resonance imaging (MRI) revealed the presence of pituitary and bilateral adrenal incidentalomas. The patient was operated and the histopathological examination of the specimen revealed a non-functional pituitary carcinoma variety "Null Cell".

Discussion And Conclusion: There are no clinical, biological, or radiological characteristics that reliably differentiate between non-functional pituitary adenoma and non-functional pituitary carcinoma. Management remains a challenge for clinicians and neurosurgeons. A combination of surgery, chemotherapy, and radiotherapy seems necessary to achieve tumor control.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250797PMC
http://dx.doi.org/10.1016/j.ijscr.2023.108376DOI Listing

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