Adenocarcinoma of the lung with metastases to pituitary gland and both adrenals

A case of lung adenocarcinoma with metastases in both adrenals and pituitary gland in 52-year old patient is presented. Adrenal glands metastases were diagnosed on a base of CT scans. Pituitary metastases caused gradual loss of vision. MR imaging showed a lesion in the sella and suprasellar areas and sugested meningioma. Right frontal craniotomy with the partial removal of the tumor was performed. Three days later the patient died. Histopathological results of the pituitary masses revealed adenocarcinoma.