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垂体大腺瘤自发消退导致的空蝶鞍。

Empty sella resulting from the spontaneous resolution of a pituitary macroadenoma.

作者信息

Robinson D B, Michaels R D

机构信息

Department of Medicine, National Naval Medical Center, Bethesda, Md.

出版信息

Arch Intern Med. 1992 Sep;152(9):1920-3.

PMID:1344028
Abstract

Recent studies suggest that the infarction of a pituitary adenoma may be a frequent cause of an empty sella turcica. However, to date, evidence of such progression has been largely speculative. We present the case of a patient with a pituitary macroadenoma that underwent spontaneous involution resulting in an empty sella, as documented by serial magnetic resonance imaging scans. A brief review of the proposed causes of primary empty sella, with emphasis on pituitary necrosis, is provided.

摘要

近期研究表明,垂体腺瘤梗死可能是空蝶鞍的常见病因。然而,迄今为止,这种进展的证据大多是推测性的。我们报告一例垂体大腺瘤患者,经系列磁共振成像扫描证实,该肿瘤发生自发性 involution ,导致空蝶鞍。本文简要回顾了原发性空蝶鞍的可能病因,重点讨论垂体坏死。 (注:involution 这个词在医学语境中不太好准确翻译,可根据上下文理解为某种萎缩、退化等意思,这里保留英文供参考)

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1
Empty sella resulting from the spontaneous resolution of a pituitary macroadenoma.垂体大腺瘤自发消退导致的空蝶鞍。
Arch Intern Med. 1992 Sep;152(9):1920-3.
2
Empty sella following spontaneous resolution of a pituitary macroadenoma.垂体大腺瘤自发消退后的空蝶鞍。
Horm Res. 2003;60(1):49-52. doi: 10.1159/000070827.
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Vanishing pituitary mass revealed by timely magnetic resonance imaging: examples of spontaneous resolution of nonfunctioning pituitary adenoma.及时的磁共振成像显示垂体肿块消失:无功能垂体腺瘤自发消退的实例
Acta Neurochir (Wien). 2005 Mar;147(3):253-7; discussion 257. doi: 10.1007/s00701-004-0443-9.
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[Secondary empty sella syndrome: report of three cases and review of the literature].[继发性空蝶鞍综合征:三例报告及文献复习]
No Shinkei Geka. 1982 Nov;10(11):1189-94.
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[Acromegaly and empty sella turcica].[肢端肥大症与空蝶鞍]
Med Clin (Barc). 1985 May 11;84(18):743-5.
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Primary empty sella with isolated ACTH deficiency and microprolactinoma.原发性空蝶鞍伴孤立性 ACTH 缺乏和微泌乳素瘤。
Gynecol Endocrinol. 2012 Jul;28(7):568-9. doi: 10.3109/09513590.2011.650663. Epub 2012 Feb 14.
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Coexistence of primary empty sella and silent corticotrophic adenoma.原发性空蝶鞍与无功能促肾上腺皮质激素腺瘤并存。
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[Panhypopituitarism and cranial nerve IV palsy: pituitary macroadenoma?].[全垂体功能减退与动眼神经麻痹:垂体大腺瘤?]
Endocrinol Nutr. 2010 Dec;57(10):502-4. doi: 10.1016/j.endonu.2010.06.014. Epub 2010 Oct 18.
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The empty sella. A reappraisal of etiology and pathogenesis.空蝶鞍。病因与发病机制的重新评估。
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Growth hormone-secreting pituitary adenoma confined to the sphenoid sinus associated with a normal-sized empty sella.局限于蝶窦的生长激素分泌型垂体腺瘤,伴有正常大小的空蝶鞍。
J Clin Neurosci. 2002 Mar;9(2):196-9. doi: 10.1054/jocn.2001.0988.

引用本文的文献

1
Spontaneous regression of paediatric pituitary lesions-report of 2 cases and literature review.儿童垂体病变自发性消退 2 例报告及文献复习。
Childs Nerv Syst. 2024 Nov 27;41(1):6. doi: 10.1007/s00381-024-06680-6.
2
Rare Case of a Disappearing Pituitary Adenoma During the Coronavirus Disease 2019 (COVID-19) Pandemic.COVID-19 期间垂体腺瘤消失的罕见病例
World Neurosurg. 2021 Feb;146:148-149. doi: 10.1016/j.wneu.2020.11.073. Epub 2020 Nov 18.
3
[Empty sella syndrome: a case report].[空蝶鞍综合征:一例报告]
Pan Afr Med J. 2019 Aug 21;33:317. doi: 10.11604/pamj.2019.33.317.17423. eCollection 2019.
4
Empty sella syndrome in a male child with failure to thrive.一名生长发育迟缓男童的空蝶鞍综合征。
J Pediatr Neurosci. 2015 Jan-Mar;10(1):45-7. doi: 10.4103/1817-1745.154338.