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Case Reports
Multimodal treatment of hemorrhagic pituitary metastasis as first manifestation of renal cell carcinoma.
- Rachel Grossman, Shimon Maimon, Ronen Levite, and Zvi Ram.
- Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Israel. rachelgr@tasmc.health.gov.il
- World Neurosurg. 2013 May 1;79(5-6):798.E1-5.
BackgroundMetastatic tumors involving the pituitary gland are very rare, with only few cases reported so far in the literature.Case DescriptionWe report a case of a man who presented with an extremely vascular hemorrhagic pituitary metastasis as the first manifestation of renal cell carcinoma. The patient was successfully treated with staged procedures, including preoperative tumor vasculature embolization followed by transsphenoidal tumor resection.ConclusionsThis is the first report describing multimodality treatment of a patient with pituitary metastasis of unknown origin requiring presurgical embolization before successful tumor removal.Copyright © 2013 Elsevier Inc. All rights reserved.
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