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[神经外科与垂体肿瘤:病因学-病理学考量]

[Neurosurgery and pituitary tumors: etio-pathogenic considerations].

作者信息

Visot A

机构信息

Service de Neurochirurgie, Hôpital Foch, 40, rue Worth, F 92150 Suresnes.

出版信息

Presse Med. 2001 Mar 3;30(8):392-4.

PMID:11268900
Abstract

PITUITARY ADENOMA

Based on the experience of nearly 5000 cases of surgically treated pituitary tumors at the neurosurgery department of the Foch Hospital, the pituitary adenoma is the most frequent pituitary tumor. Secreting tumors lead to a clinical syndrome depending on the level of hormone overproduction. Gonadotrop or non-functioning pituitary adenomas are mainly macroadenomas presenting with visual symptoms, hypopituitarism or as an incidentaloma. Anatomical features dictate the surgical approach. OTHER TUMORS: The other types of hypophyseal tumors, such as craniopharyngioma, Rathke's cleft cyst or others are usually surgical tumors because medical treatment is ineffective. Malignant pituitary tumors are unusual.

摘要

垂体腺瘤

根据福煦医院神经外科近5000例垂体肿瘤手术治疗的经验,垂体腺瘤是最常见的垂体肿瘤。分泌性肿瘤会根据激素过度分泌的程度导致临床综合征。促性腺激素瘤或无功能性垂体腺瘤主要为大腺瘤,表现为视觉症状、垂体功能减退或偶发瘤。解剖特征决定手术入路。其他肿瘤:其他类型的垂体肿瘤,如颅咽管瘤、拉克氏囊肿或其他肿瘤,通常是需手术治疗的肿瘤,因为药物治疗无效。恶性垂体肿瘤并不常见。

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