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Breast cancer metastatic to the pituitary gland: a case reportKeywords: Breast cancer, Pituitary metastases, Follow-up, Controversial diagnosis Abstract: 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.
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