@entity2010 as the first symptom caused by @entity2 XXXX to the pituitary glands: clinical presentations, diagnosis, and management.

@entity1 @entity0 @entity5 @entity2 @entity3 @entity6659 @entity2010
BACKGROUND: @entity6659 ( @entity6659 ), secondary to pituitary metastatic lesions, is uncommon; however, lung and @entity0 are the commonest @entity5 to have @entity3 to the pituitary. Early management of systemic chemotherapy and pituitary irradiation might improve the prognosis of @entity1 . AIMS: To investigate the clinical features, diagnosis, and management of @entity6659 caused by @entity2 @entity3 to the pituitary glands. MATERIALS AND METHODS: We retrospectively reviewed 10 @entity1 who had @entity6659 as their first symptom before their lung @entity5 were diagnosed. Their clinical presentations, anterior pituitary gland function, sellar magnetic resonance imaging (MRI), management, and prognosis were described. SETTINGS AND DESIGN: This retrospective cross-sectional clinical study was conducted in a medical college hospital. RESULTS: The @entity1 's mean age was 58.6  7.8 years. @entity2010 was the main complaint when they were referred to our hospital. MRI revealed specific dumbbell-shaped masses in the sella turcica in five @entity1 . In seven @entity1 whose hormones were measured, the levels of hormones from adenohypophysis were abnormally low in six @entity1 . The main treatments included surgery, systemic chemotherapy, and sellar irradiation. Although nine @entity1 had poor prognoses, one @entity1 has survived for more than 3 years, suggesting benefit from early diagnosis and treatment. CONCLUSIONS: New-onset @entity6659 might be the only symptom presented by the @entity1 with pituitary @entity3 (PM) from @entity2 . Dumbbell-shaped sellar masses in MRI are prone to the diagnosis of PM. A thorough examination for primary @entity5 should be carried out in these aged and elderly @entity1 .
