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Pituitary Metastasis Revealed by a Chiasma Syndrome

A 60-year-old woman received chemoand radiotherapy for a cervix epidermoid carcinoma 6 years prior to presentation in our clinic. She presented with a 6-month history of progressive headache and blurred vision. Evaluation revealed bilateral visual loss, bitemporal hemianopsia, and galactorrhea. Magnetic resonance imaging showed a pituitary lesion with suprasellar extension compressing the chiasma and another lesion in the right temporal lobe. Hormonal profiles revealed low levels of cortisol and thyroxine with hyperprolactinemia. Stereotactic biopsy of the temporal lesion revealed metastasis of a cervix epidermoid carcinoma. Pituitary surgery was