Lung cancer presents as Addisonian crisis secondary to a solitary pituitary metastasis
Journal of Radiotherapy in Practice, 01/13/2010
Exclusive author commentary
Turaka A et al. – The authors present the case of 68–year–old white man who presented with lung cancer in Addisonian crisis due to a pituitary metastasis. He was successfully treated with radiotherapy which reversed his visual field deficits. Pituitary metastasis as the first manifestation of malignancy is rare but, should be considered in the differential diagnosis of patients presenting with endocrine disturbances and visual problems.
Mark K. Buyyounouski (01/13/2010) comments:
Pituitary metastases from various primary lesions presenting with the visual field defects was reported in the literature. It is intersting to read from your article that by treating the metastatic lung lesion with radiotherapy had lead to improvement in visual fields thereby giving the patient best quality of life. Congratulations for the good work.