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Jonnakuty CG, and Mezitis SG. Pulmonary atypical carcinoid tumor with metastatic involvement of the pituitary gland causing functional hypopituitarism. Endocrine Practice. 2007. v13(3). 291-295.

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Article

Seller Mass in a Young Man with Diabetes Insipidus and Panhypopituitarism—What is the Diagnosis?

1Department of Internal Medicine, JPS Hospital [John Peter Smith], Fort Worth, Texas USA


American Journal of Medical Case Reports. 2016, Vol. 4 No. 12, 376-377
DOI: 10.12691/ajmcr-4-12-2
Copyright © 2016 Science and Education Publishing

Cite this paper:
Smita Subramaniam, Bassam Ghabach, Andrey Manov. Seller Mass in a Young Man with Diabetes Insipidus and Panhypopituitarism—What is the Diagnosis?. American Journal of Medical Case Reports. 2016; 4(12):376-377. doi: 10.12691/ajmcr-4-12-2.

Correspondence to: Smita  Subramaniam, Department of Internal Medicine, JPS Hospital [John Peter Smith], Fort Worth, Texas USA. Email: Drsmitamd@Hotmail.com

Abstract

Pituitary and suprasellar lesions can cause diabetes insipidus due to interruption of pathways carrying vasopressin and oxytocin to pituitary. Central diabetes insipidus is characterized by polyuria and polydipsia and is a direct result of deficiency of vasopressin. Midline mass lesions in brain and body warrant further workup for possible diagnosis of germ cell tumors. We present an interesting case of a young man with suprasellar brain lesion and diabetes insipidus with pan hypopituitarism where further workup revealed germinoma. Patient had a favorable outcome with surgery followed by radiation therapy.

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