Visual Loss from a Pituitary Mass: Collision Tumors of Prostatic Metastasis and Suprasellar Meningioma

Adrian C. T. Lim; Christian Cerra; Piyali Pal; Tara Kearney; Kanna K. Gnanalingham

doi:10.1055/s-0032-1322522

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e81-e84
DOI: 10.1055/s-0032-1322522

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Visual Loss from a Pituitary Mass: Collision Tumors of Prostatic Metastasis and Suprasellar Meningioma

Authors

Adrian C. T. Lim

¹Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
Christian Cerra

¹Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
Piyali Pal

²Department of Neuropathology, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
Tara Kearney

³Department of Endocrinology, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
Kanna K. Gnanalingham

¹Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom

Abstract

Central nervous system spread from prostate cancer is typically associated with raised prostate specific antigen (PSA) levels. The authors describe a unique case of a “collision tumor” of a prostatic metastasis to the pituitary, juxtaposed to a suprasellar meningioma, with normal PSA levels. This case also emphasizes the need to consider prostatic metastasis in the differential diagnosis of a pituitary mass in patients with a known prostatic cancer, despite the normal PSA levels.

Keywords

prostatic adenocarcinoma - pituitary metastasis - suprasellar meningioma - normal prostate specific antigen

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References

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