4.6 Article

Adenocarcinoma of the salivary gland metastatic to the pituitary gland: Case report

Journal

NEUROSURGERY
Volume 48, Issue 5, Pages 1161-1165

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00006123-200105000-00044

Keywords

ductal carcinoma; metastasis; pituitary gland; pituitary tumor; salivary gland neoplasm

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ROBJECTIVE AND IMPORTANCE: A case of metastasis to the pituitary gland from a ductal adenocarcinoma of the salivary gland is presented. Metastasis to this site is rare, and a salivary gland source has never previously been described. CLINICAL PRESENTATION: This patient presented with hypopituitarism, including diabetes insipidus. INTERVENTION: A craniotomy was performed to alleviate visual loss. The histological features of the sellar tumor were identical to those of a tumor removed from the parotid gland 18 months earlier. CONCLUSION: Although intrasellar tumors originating from embryonic rests of salivary gland tissue have been reported, metasbsis from a malignant neoplasm arising within a true salivary gland is also possible and should not be excluded from consideration for patients in whom a salivary gland-like tumor is discovered in the sella turcica.

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