North American Journal of Medical Sciences

CASE REPORT
Year
: 2015  |  Volume : 7  |  Issue : 10  |  Page : 476--479

Diabetes insipidus: An unusual presentation of adenocarcinoma of the lung in a patient with no identifiable lung mass


Shuchi Gulati1, Christoper Kiefer2, Nagla Abdel Karim1 
1 Division of Hematology/Oncology, University of Cincinnati, Cincinnati, Ohio, USA
2 Division of Pathology and Lab Medicine, University of Cincinnati, Cincinnati, Ohio, USA

Correspondence Address:
Shuchi Gulati
Department of Internal Medicine, University of Cincinnati, 231 Albert Sabin Way, ML 0535, Cincinnati, Ohio-45220
USA

Context: Lung cancers are known to metastasize to unusual sites. Despite this knowledge often times the diagnosis of a primary lung cancer gets delayed especially when the patient presents without respiratory symptoms. Case Report: The patient discussed in our review is a 47-year-old female, smoker who had presented to several hospitals with months of headache, nausea and intermittent episodes of vomiting. She was noted to have hypernatremia due to diabetes insipidus and a pituitary lesion on her magnetic resonance images. The pituitary mass on biopsy was found to represent a metastatic focus from a primary lung adenocarcinoma. Conclusion: Clinicians should be aware of malignancies that are well known to metastasize to the posterior pituitary. Conversely, since not every patient presents with symptoms of metastasis, there is a need to recognize the clinical syndromes (e. g., diabetes insipidus-like symptoms or more subtle symptoms like cranial nerve palsies) associated with potential metastasis to the pituitary.


How to cite this article:
Gulati S, Kiefer C, Karim NA. Diabetes insipidus: An unusual presentation of adenocarcinoma of the lung in a patient with no identifiable lung mass.North Am J Med Sci 2015;7:476-479


How to cite this URL:
Gulati S, Kiefer C, Karim NA. Diabetes insipidus: An unusual presentation of adenocarcinoma of the lung in a patient with no identifiable lung mass. North Am J Med Sci [serial online] 2015 [cited 2023 Jan 29 ];7:476-479
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2015;volume=7;issue=10;spage=476;epage=479;aulast=Gulati;type=0