Nakamura Kazuhito, Iwai Yoshiyasu, Yamanaka Kazuhiro, Kawahara Shinich, Ikeda Hidetoshi, Nagata Rie, Uda Takehiro, Ichinose Tsutomu, Murata Keiji, Sakaguchi Masakazu, Yasui Toshihiro
Department of Neurosurgery, Osaka City General Hospital, Osaka, 534-0021, Japan.
No Shinkei Geka. 2007 Apr;35(4):371-5.
There are no reports of surgical treatment for non-functioning pituitary adenomas in the 9th decade of life, and it is thought that these patients often select conservative treatment and observation, because of their worry about deterioration of their general condition due to invasive surgery and because hypopituitarism and other medical problems are often present. However, it is also true that there is necessity for considering surgical treatment for the pituitary adenomas even in the 9th decade when there is a complaint of visual disturbance. We carried out the palliative surgical removal of three non-functioning pituitary adenomas with visual disturbance in the 9th decade and report these surgical treatments and outcomes. The improvement of visual disturbance was obtained in all three cases. The only perioperative complication was pneumothorax caused by barotrauma. The palliative transsphenoidal surgical removal of non-functioning pituitary adenomas for the purpose of improvement of visual disturbance is a safe procedure in the 9th decade of life.
目前尚无关于90岁患者非功能性垂体腺瘤手术治疗的报道，人们认为这些患者通常选择保守治疗和观察，原因是他们担心侵入性手术会使全身状况恶化，而且垂体功能减退和其他医疗问题往往存在。然而，当出现视觉障碍主诉时，即使在90岁，考虑对垂体腺瘤进行手术治疗也是必要的。我们对3例90岁有视觉障碍的非功能性垂体腺瘤进行了姑息性手术切除，并报告了这些手术治疗方法及结果。所有3例患者的视觉障碍均得到改善。唯一的围手术期并发症是气压伤导致的气胸。为改善视觉障碍而对非功能性垂体腺瘤进行姑息性经蝶窦手术切除，在90岁患者中是一种安全的手术方式。
