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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

Adrian C. T. Lim
1   Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
,
Christian Cerra
1   Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
,
Piyali Pal
2   Department of Neuropathology, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
,
Tara Kearney
3   Department of Endocrinology, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
,
Kanna K. Gnanalingham
1   Department of Neurosurgery, Greater Manchester Neurosciences Centre, Salford Royal Foundation Trust, Manchester, United Kingdom
› Author Affiliations
Further Information

Publication History

25 March 2012

28 April 2012

Publication Date:
30 July 2012 (online)

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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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