May Joshua A, Krieger Mark D, Bowen Ira, Geffner Mitchell E
Division of Endocrinology, Diabetes, and Metabolism, Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #61, Los Angeles, CA 90027, USA.
Adv Pediatr. 2006;53:183-209. doi: 10.1016/j.yapd.2006.04.013.
In summary, much progress has been made in our understanding of childhood craniopharyngiomas. These histologically benign but "geographically malignant" tumors are challenging to treat and require experienced clinicians from multiple disciplines including neurosurgery, radiology, hematology/oncology, ophthalmology, endocrinology, and general pediatrics to address the multiple issues that arise with diagnosis, treatment, and long-term follow-up of affected children. The study and close observation of patients who have craniopharyngiomas may also be beneficial for our general understanding of pathophysiologic processes such as the observed "growth without growth hormone" phenomenon or the well-described and studied hypothalamic obesity phenotypes.
总之,我们对儿童颅咽管瘤的认识已经取得了很大进展。这些组织学上为良性但“生物学行为恶性”的肿瘤治疗颇具挑战性,需要来自神经外科、放射科、血液学/肿瘤学、眼科、内分泌科和普通儿科等多个学科的经验丰富的临床医生,来处理受影响儿童在诊断、治疗和长期随访中出现的多种问题。对颅咽管瘤患者的研究和密切观察,可能也有助于我们对病理生理过程的总体理解,比如观察到的“无生长激素情况下的生长”现象,或者已被充分描述和研究的下丘脑性肥胖表型。