Adrenocorticotropic Hormone Secreting Pituitary Carcinoma: Rare, Durable Response to Concurrent Chemotherapy and Reirradiation With a Review of the Literature

Autor: Katherine Albano, Nathan T. Zwagerman, Joseph Bovi, Megan Orr, Jennifer Connelly, James W. Findling
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Advances in Radiation Oncology, Vol 7, Iss 2, Pp 100813-(2022)
Advances in Radiation Oncology
ISSN: 2452-1094
Popis: Pituitary carcinoma (PC) is an uncommon intracranial malignancy with a high rate of metastasis, mortality, and inconsistent response to therapy. Because PC is a rare condition (0.1%-0.2% of pituitary tumors), prospective studies and observable data are scarce. Some PC may have an endocrine secretory function and can arise from existing pituitary adenomas. Treatment often includes a combination of surgical resection, radiotherapy, and systemic therapies. Because of the poor treatment response rate and rapid progression, treatment is often palliative. Here we describe a unique, complete amelioration of severe Cushing's disease due to an ACTH secreting pituitary carcinoma followed by the development of pituitary hypoadrenalism after re-irradiation with concurrent temozolomide.
Databáze: OpenAIRE