Thyroid papillary carcinoma with an insular component metastasizing to the sella turcica and sphenoid sinus: Case report

Ardhaoui, Hamida; Halily, Sara; Elkrimi, Zineb; Rouadi, Sami; Abada, R.; Roubal, M.; Mahtar, M.

doi:10.1016/j.ijscr.2020.01.049

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Based on the reported 16 cases of pituitary metastasis from PTC, only two other cases besides ours developed DI. [1,2,6,12,13,17,18,21,28,30,31,35,36,38,41] Pituitary apoplexy is a life-threatening event resulting from an acute hemorrhagic or ischemic event. [29] Four theories regarding the precipitants of pituitary apoplexy are proposed: rapid tumor growth exceeding arterial supply, acute increase in blood flow, endocrine stimulation of the pituitary gland, and coagulation disturbance.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the reported 16 cases of pituitary metastasis from PTC, only two other cases besides ours developed DI. [ 1 , 2 , 6 , 12 , 13 , 17 , 18 , 21 , 28 , 30 , 31 , 35 , 36 , 38 , 41 ]…”

Section: Discussionmentioning

confidence: 99%

“…Johnson and Atkins, 1965 [12] 56, F -○ ----7 None RT, IT Alive at 20 months f/u Kistler and Pribram, 1975 [13] [35] 48, M -○ x x x Seizure 0 None IT Alive at 3 years f/u Xia and Wang, 2010 [41] 56, F ○ ○ ○ x x -7 N.A. TSS Alive at 12 months f/u Madronio and Frances, 2011 [17] 53, F ○ ----Headache 0 None TSS Alive at 12 months f/u Stojanović et al, 2012 [36] 67, F ○ -○ ○ x -0 Possible: intracerebral, bone TSS Alive at 13 months f/u Chikani and Lambie, 2013 [6] 70, F x x ○ x x Nausea 3 Manubrium TSS, RT, IT Died 5 years a/p Ardhaoui et al, 2020 [1] 70, F ○ ○ --x Headache 1 Sphenoid sinus TSS Alive at 6 months f/u Popławska-Kita, 2020 [31] 68 80% of cases, IMP-SPECT for a typical iNPH patient shows convexity apparent hyperperfusion (CAPPAH) sign. [27] In our case, IMP-SPECT did not reveal a typical CAPPAH sign.…”

Section: Treatment Outcomementioning

confidence: 99%

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Apoplexy in sellar metastasis from papillary thyroid cancer: A case report and literature review

Hirayama

Ishida

Inoshita

et al. 2022

Surgical Neurology International

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Background: Pituitary metastasis from papillary thyroid cancer (PTC) is rare and only a few cases have been reported. Case Description: We report the case of a patient who presented with visual dysfunction and panhypopituitarism. Magnetic resonance imaging revealed a pituitary tumor and hydrocephalus. Transsphenoidal surgery had been indicated, but his surgery had been postponed due to COVID-19 pandemic. During that waiting period, he showed pituitary apoplexy with consciousness disturbance, resulting in acute adrenal insufficiency and diabetes insipidus. He was urgently hospitalized and underwent transsphenoidal surgery. Rapid and permanent pathological examinations have confirmed metastasis of PTC to the pituitary. The patient also underwent serial thyroidectomy. He was also suspected to have secondary hydrocephalus and underwent lumboperitoneal shunting after excluding cerebrospinal fluid metastasis. Thereafter, his cognitive dysfunction and performance status improved dramatically. Conclusion: To the best of our knowledge, this is the first patient with PTC who developed pituitary apoplexy secondary to metastasis.

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Section: Discussionmentioning

confidence: 99%

“…Based on the reported 16 cases of pituitary metastasis from PTC, only two other cases besides ours developed DI. [ 1 , 2 , 6 , 12 , 13 , 17 , 18 , 21 , 28 , 30 , 31 , 35 , 36 , 38 , 41 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Treatment Outcomementioning

confidence: 99%

See 1 more Smart Citation

Apoplexy in sellar metastasis from papillary thyroid cancer: A case report and literature review

Hirayama

Ishida

Inoshita

et al. 2022

Surgical Neurology International

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Symptomatic pituitary metastasis from hepatocellular carcinoma: a case report and literature review

et al. 2021

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A Case of Unilateral Proptosis Secondary to Prostatic Metastasis

et al. 2022

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Prostate cancer metastases involving the orbit and/or paranasal sinuses represent a rare oncological presentation. Patients can have a myriad of symptoms such as proptosis, periorbital swelling, blurry vision, rhinorrhea, epistaxis, anosmia, or others depending on the structures involved. The differential diagnosis of paranasal sinus masses on imaging studies is broad and can include inflammatory, congenital, or neoplastic masses; leading to the requirement of biopsy for definitive diagnosis. Tissue sample is usually obtained via an endoscopic approach. The prognosis of such a presentation is not well described in the literature, but it is usually guarded due to the advanced stage of the disease and generally a poorly differentiated primary tumor. Treatments usually aim to reduce the burden of disease and debulk the tumor mass for palliative purposes. We present a case of a 71-year-old male presenting with unilateral proptosis and periorbital swelling secondary to prostatic metastasis.

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Thyroid papillary carcinoma with an insular component metastasizing to the sella turcica and sphenoid sinus: Case report

Cited by 4 publications

References 9 publications

Apoplexy in sellar metastasis from papillary thyroid cancer: A case report and literature review

Apoplexy in sellar metastasis from papillary thyroid cancer: A case report and literature review

Symptomatic pituitary metastasis from hepatocellular carcinoma: a case report and literature review

A Case of Unilateral Proptosis Secondary to Prostatic Metastasis

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