UNASSIGNED: BACKGROUND Pituitary @entity3 is uncommon, @entity0 being the most frequent @entity5 . @entity1358 ( @entity1358 ) is a rare cause of pituitary metastases, with only a few cases described to date. CASE REPORT We report a case of a 61-year-old @entity1 who presented with a progressive @entity227 and field associated with a @entity1805 . Two years ago, he underwent radical right nephrectomy for a clear cell @entity1358 (ccRCC). The biological tests showed pan- @entity4614 and @entity2010 . Brain MRI revealed a large @entity5 lesion bilaterally infiltrating the cavernous sinuses, which was surgically resected. Histology confirmed a ccRCC pituitary @entity3 . The @entity1 received post-surgical radiotherapy. Considering the presence of concomitant extra-pituitary metastases, treatment with @entity2240 was started, followed by several lines of therapy with @entity16231 , @entity2239 , and @entity2857 because of @entity5 progression. The @entity1 also presented with a @entity977 recurrence, which was treated by stereotaxic radiotherapy. He died five years after the initial diagnosis of @entity1358 and 30 months after the diagnosis of the pituitary @entity3 .   CONCLUSIONS There are no standardized treatment guidelines for management of pituitary metastases. Pituitary surgery plays a role in symptom palliation, and it does not have any relevant impact on survival. Exclusive radiotherapy or stereotaxic radiotherapy could be an alternative to surgery in @entity1 whose general condition is poor or who have concomitant extra-pituitary metastases.

Pituitary Metastasis from XXXX : Description of a Case Report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity227 :: ('MESH:D014786', 'Disease') :: ['deterioration of visual acuity'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast and lung cancers'] @entity2240 :: ('MESH:C473478', 'Chemical') :: ['sunitinib'] @entity16231 :: ('MESH:C503983', 'Chemical') :: ['axitinib'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'primary tumors', 'sellar tumor'] @entity2857 :: ('MESH:C471405', 'Chemical') :: ['sorafenib'] @entity2239 :: ('MESH:C107135', 'Chemical') :: ['everolimus'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['Renal cell carcinoma', 'RCC'] @entity1805 :: ('MESH:D006423', 'Disease') :: ['bitemporal hemianopsia'] @entity4614 :: ('MESH:D007018', 'Disease') :: ['hypopituitarism'] @entity977 :: ('MESH:D010911', 'Disease') :: ['pituitary tumor'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity2010 :: ('MESH:D003919', 'Disease') :: ['diabetes insipidus']
@entity1358 :: (MESH:D002292,Disease) :: ['Renal Cell Carcinoma']
