%0 Journal Article %T Breast cancer metastatic to the pituitary gland: a case report %A Gian Paolo Spinelli %A Giuseppe Lo Russo %A Evelina Miele %A Natalie Prinzi %A Federica Tomao %A Manila Antonelli %A Felice Giangaspero %A Valeria Stati %A Martina Strudel %A Silverio Tomao %J World Journal of Surgical Oncology %D 2012 %I BioMed Central %R 10.1186/1477-7819-10-137 %X Metastases are more frequent in older patients and the most common symptoms at presentation are diabetes insipidus and visual alterations.72-year-old white woman was treated for a breast carcinoma with right superoexternal quadrantectomy, radiotherapy, and hormone therapy. Twelve years later, the patient presented with bone pain, bilateral progressive visual decline, and onset of hypopituitarism. A diagnosis of secondary bone involvement and pituitary metastasis was made.This was an unusual disease course, and stresses the importance of intensive follow-up in patients with breast cancer even many years after the initial diagnosis This case emphasizes that diagnosis can be difficultand controversial when relapse occurs at uncommon sites. %K Breast cancer %K Pituitary metastases %K Follow-up %K Controversial diagnosis %U http://www.wjso.com/content/10/1/137/abstract