Pituitary metastasis from uterine cervical carcinoma: a case presenting asdiabetes insipidus

The authors report a case of symptomatic pituitary metastasis from an adeno carcinoma of the uterine cervix. Only two cases of intrasellar metastasis f rom an adenocarcinoma of the uterine cervix have been previously reported; both were identified at autopsy. Our patient presented with clinical featur es of diabetes insipidus and a right sixth nerve palsy. Trans-sphenoidal su rgery was performed and partial removal of the tumour was achieved. The tum our was an epidermoidal carcinoma of the uterine cervix located primarily i n the posterior lobe of the pituitary. The patient's neurological symptoms were relieved following surgery. The possibility of a secondary location mu st always be considered in a differential diagnosis when treating an intras ellar lesion in a patient with a documented primary malignancy.