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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">problendo</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы Эндокринологии</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Endocrinology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0375-9660</issn><issn pub-type="epub">2308-1430</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/probl13395</article-id><article-id custom-type="elpub" pub-id-type="custom">problendo-13395</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Онкоэндокринология</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Oncoendocrinology</subject></subj-group></article-categories><title-group><article-title>Метастатическое поражение гипофиза</article-title><trans-title-group xml:lang="en"><trans-title>Metastatic pituitary lesion</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4353-6705</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лапшина</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lapshina</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лапшина Анастасия Михайловна - к.м.н.</p><p>117036, Москва, улица Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Anastasia M. Lapshina - MD, PhD.</p><p>11 Dm. Ulyanova street, 117292 Moscow</p></bio><email xlink:type="simple">anastasya.lapshina@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-7608-4726</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базарова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazarova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Базарова Екатерина Александровна.</p><p>117036, Москва, улица Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Ekaterina V. Bazarova - MD.</p><p>11 Dm.Ulyanova street, 117292 Moscow</p></bio><email xlink:type="simple">e.bazarova.bq@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9119-2447</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пржиялковская</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Przhialkovskaya</surname><given-names>E. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пржиялковская Елена Георгиевна - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Elena G. Przhialkovskaya - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">przhiyalkovskaya@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6993-5096</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хандаева</surname><given-names>П. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Khandaeva</surname><given-names>P. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хандаева Патимат Магомедовна</p><p>Москва</p></bio><bio xml:lang="en"><p>Patimat M. Khandaeva - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">Patimat.Khandaeva@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9718-6099</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Азизян</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Azizyan</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Азизян Вилен Неронович - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Vilen N. Azizyan - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">Azizyan.Vilen@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9575-4520</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорьев</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoriev</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Григорьев Андрей Юрьевич - д.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Andrey Yu. Grigoriev - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">grigoriev.andrey@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6109-7550</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иващенко</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivashchenko</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иващенко Оксана Владимировна</p><p>Москва</p></bio><bio xml:lang="en"><p>Oksana V. Ivashchenko - MD.</p><p>Moscow</p></bio><email xlink:type="simple">Ivaschenko.Oksana@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7965-9454</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарбаева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarbaeva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тарбаева Наталья Викторовна - к.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalya V. Tarbaeva - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">Tarbaeva.Natalya@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6674-6441</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белая</surname><given-names>Ж. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Belaya</surname><given-names>Zh. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белая Жанна Евгеньевна - д.м.н.</p><p>Москва</p></bio><bio xml:lang="en"><p>Zhanna E. Belaya - MD, PhD.</p><p>Moscow</p></bio><email xlink:type="simple">Belaya.Zhanna@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр эндокринологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>05</day><month>11</month><year>2024</year></pub-date><volume>70</volume><issue>5</issue><fpage>46</fpage><lpage>53</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лапшина А.М., Базарова Е.А., Пржиялковская Е.Г., Хандаева П.М., Азизян В.Н., Григорьев А.Ю., Иващенко О.В., Тарбаева Н.В., Белая Ж.Е., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лапшина А.М., Базарова Е.А., Пржиялковская Е.Г., Хандаева П.М., Азизян В.Н., Григорьев А.Ю., Иващенко О.В., Тарбаева Н.В., Белая Ж.Е.</copyright-holder><copyright-holder xml:lang="en">Lapshina A.M., Bazarova E.A., Przhialkovskaya E.G., Khandaeva P.M., Azizyan V.N., Grigoriev A.Y., Ivashchenko O.V., Tarbaeva N.V., Belaya Z.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.probl-endojournals.ru/jour/article/view/13395">https://www.probl-endojournals.ru/jour/article/view/13395</self-uri><abstract><p>Метастатическое поражение гипофиза является редким состоянием и диагностируется в 1,8–4% случаев. Авторы представляют трех пациентов с метастатическим поражением гипофиза, которые подверглись нейрохирургическому лечению в ГНЦ ФГБУ НМИЦ эндокринологии с последующим патоморфологическим подтверждением диагноза. Первичными опухолями были рак молочной железы, карциноид легкого, светлоклеточный рак почки. У двух пациентов были также обнаружены отдаленные метастазы, кроме гипофиза. Клиническая манифестация заключалась в появлении симптомов пангипопитуитаризма, хиазмального синдрома и масс-эффекта во всех случаях. Период наблюдения после хирургического лечения составил 0,25–2,5 года. У двух пациенток отмечено прогрессирование основного заболевания. Одной из них проводилось стереотаксическое радиохирургическое лечение и стереотаксическое облучение. У одного пациента состояние стабильно. Наблюдение и лечение таких пациентов является сложной задачей и требует повышенного внимания со стороны мультидисциплинарной команды специалистов.</p></abstract><trans-abstract xml:lang="en"><p>Metastatic lesion of pituitary is a rare condition and is diagnosed in 1.8–4% of cases. Monitoring and treatment of such patients is a complex task and requires increased attention from a multidisciplinary team of specialists. The authors represent three patients with metastatic pituitary lesion who underwent neurosurgical treatment at the National Research Center of the National Research Institute of Endocrinology with subsequent pathomorphological confirmation of the diagnosis. The primary tumors were breast cancer, lung carcinoid, and clear cell kidney cancer. Two patients had distant metastases other than the pituitary gland. The clinical manifestation consisted in the appearance of symptoms of panhypopituitarism, chiasmal syndrome and mass effect in all cases. The follow-up period after surgical treatment was 0.25–2.5 years. Progression of the underlying disease was noted in two patients. One of them carried out stereotactic radiosurgical treatment and stereotactic oriented irradiation. One patient has a stable condition.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метастазы в гипофиз</kwd><kwd>масс-эффект</kwd><kwd>пангипопитуитаризм</kwd><kwd>гипопитуитаризм</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metastases to the pituitary gland</kwd><kwd>mass effect</kwd><kwd>panhypopituitarism</kwd><kwd>hypopituitarism</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при поддержке гранта РНФ: 19-15-00398-П</funding-statement></funding-group></article-meta></front><back><ref-list><ref id="cit1"><element-citation><name><surname>Habu</surname> <given-names>Mika</given-names> </name> <name><surname>Tokimura</surname> <given-names>Hiroshi</given-names> </name> <name><surname>Hirano</surname> <given-names>Hirofumi</given-names> </name> <name><surname>Yasuda</surname> <given-names>Soichiro</given-names> </name> <name><surname>Nagatomo</surname> <given-names>Yasushi</given-names> </name> <name><surname>Iwai</surname> <given-names>Yoshiyasu</given-names> </name> <name><surname>Kawagishi</surname> <given-names>Jun</given-names> </name> <name><surname>Tatewaki</surname> <given-names>Koshi</given-names> </name> <name><surname>Yunoue</surname> <given-names>Shunji</given-names> </name> <name><surname>Campos</surname> <given-names>Francia</given-names> </name> <name><surname>Kinoshita</surname> <given-names>Yasuyuki</given-names> </name> <name><surname>Shimatsu</surname> <given-names>Akira</given-names> </name> <name><surname>Teramoto</surname> <given-names>Akira</given-names> </name> <name><surname>Arita</surname> <given-names>Kazunori</given-names> </name> <article-title>Pituitary metastases: current practice in Japan</article-title> <source>Journal of Neurosurgery</source> <year>2015</year> <month>07</month> <fpage>998</fpage> <lpage>1007</lpage> <volume>123</volume> <issue>4</issue> <object-id pub-id-type="doi" specific-use="metadata">10.3171/2014.12.jns14870</object-id></element-citation></ref><ref id="cit2"><element-citation><name><surname>Ng</surname> <given-names>Sam</given-names> </name> <name><surname>Fomekong</surname> <given-names>Franklin</given-names> </name> <name><surname>Delabar</surname> <given-names>Violaine</given-names> </name> <name><surname>Jacquesson</surname> <given-names>Timothée</given-names> </name> <name><surname>Enachescu</surname> <given-names>Ciprian</given-names> </name> <name><surname>Raverot</surname> <given-names>Gerald</given-names> </name> <name><surname>Manet</surname> <given-names>Romain</given-names> </name> <name><surname>Jouanneau</surname> <given-names>Emmanuel</given-names> </name> <article-title>Current status and treatment modalities in metastases to the pituitary: a systematic review</article-title> <source>Journal of Neuro-Oncology</source> <year>2020</year> <month>01</month> <fpage>219</fpage> <lpage>227</lpage> <volume>146</volume> <issue>2</issue> <object-id pub-id-type="doi" specific-use="metadata">10.1007/s11060-020-03396-w</object-id></element-citation></ref><ref id="cit3"><element-citation><name><surname>Shimon</surname> <given-names>Ilan</given-names> </name> <article-title>Metastatic Spread to the Pituitary</article-title> <source>Neuroendocrinology</source> <year>2020</year> <month>02</month> <fpage>805</fpage> <lpage>808</lpage> <volume>110</volume> <issue>9-10</issue> <object-id pub-id-type="doi" specific-use="metadata">10.1159/000506810</object-id></element-citation></ref><ref id="cit4"><element-citation><name><surname>Komninos</surname> <given-names>John</given-names> </name> <name><surname>Vlassopoulou</surname> <given-names>Varvara</given-names> </name> <name><surname>Protopapa</surname> <given-names>Despina</given-names> </name> <name><surname>Korfias</surname> <given-names>Stefanos</given-names> </name> <name><surname>Kontogeorgos</surname> <given-names>George</given-names> </name> <name><surname>Sakas</surname> <given-names>Damianos E.</given-names> </name> <name><surname>Thalassinos</surname> <given-names>Nicolas C.</given-names> </name> <article-title>Tumors Metastatic to the Pituitary Gland: Case Report and Literature Review</article-title> <source>The Journal of Clinical Endocrinology &amp; 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