Pituitary Carcinomas

Incidence

Primary pituitary carcinoma is extremely rare. Metastatic pituitary deposits, for example from the breast, although rare, are the more common type.

Clinical Presentation

The clinical presentation is usually similar to that of a pituitary adenoma. Although pituitary carcinomas can be associated with acromegaly, hyperprolactinemia or Cushing's disease, they usually present as a pituitary mass.

Investigations

In addition to standard imaging, further investigations should be directed at potential sources of primary tumors such as the breast or lung.

Treatment

This is by surgery to the sella region and other sites, as appropriate, usually followed by radiotherapy.

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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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