Solitary pituitary metastasis is a rare phenomenon in human neoplasms.We report a case of lung cancer with the initial manifestation of endocrinopathy resulting from pituitary metastasis.The patient’s initial diagnosis was a poorly differentiated carcinoma,however,morbid anatomy revealed a definite diagnosis of large cell neuroendocrine carcinoma(LCNEC).Clinical physicians should be aware of potential initial manifestations such as endocrine abnormalities including panhypopituitarism and diabetes insipidus due to solitary pituitary metastasis.This case demonstrates that an endocrine abnormality such as panhypopituitarism could be an initial manifestation of LCNEC.