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Zhang Y, Wu D, Wang R, Luo M, Wang D, Wang K, Ai Y, Zheng L, Zhang Q, Shi L. Ectopic Adrenocorticotropic Hormone-Secreting Pituitary Adenoma in the Clivus Region: A Case Report. Onco Targets Ther 2022; 15:913-918. [PMID: 36062163 PMCID: PMC9439651 DOI: 10.2147/ott.s378353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 08/23/2022] [Indexed: 12/05/2022] Open
Abstract
Ectopic pituitary adenoma (EPA) is a pituitary adenoma unrelated to the intrasellar component and is an extremely rare disease. EPA resembles typical pituitary adenomas in morphology, immunohistochemistry, and hormonal activity, and it may present with specific or non-specific endocrine manifestations. Here, we report a rare case of ectopic adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma in the clival region. Only three patients with ACTH-secreting pituitary adenomas occurring in the clivus have been previously reported, and the present case was diagnosed as a clivus-ectopic ACTH-secreting pituitary macroadenoma. Thus, in addition to the more common organs, such as the lung, thymus, and pancreas, in the diagnosis of ectopic ACTH syndrome, special attention should be paid to the extremely rare ectopic ACTH-secreting pituitary adenoma of the clivus region.
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Affiliation(s)
- Yan Zhang
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Danrong Wu
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Ruoqiu Wang
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Min Luo
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Dong Wang
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Kaiyue Wang
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Yi Ai
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Li Zheng
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
| | - Qiao Zhang
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
- Correspondence: Qiao Zhang; Lixin Shi, Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China, Tel/Fax +86 851-86277666, Email ;
| | - Lixin Shi
- Department of Endocrinology and Metabolism, Guiqian International General Hospital, Guiyang, People’s Republic of China
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