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垂体肿瘤与妊娠:病理状况与生理状态之间的相互作用。

Pituitary tumors and pregnancy: the interplay between a pathologic condition and a physiologic status.

作者信息

Pivonello Rosario, De Martino Maria Cristina, Auriemma Renata S, Alviggi Carlo, Grasso Ludovica F S, Cozzolino Alessia, De Leo Monica, De Placido Giuseppe, Colao Annamaria, Lombardi Gaetano

机构信息

Section of Endocrinology, Department of Clinical Medicine and Surgery, "Federico II" University, Naples, Italy,

出版信息

J Endocrinol Invest. 2014 Feb;37(2):99-112. doi: 10.1007/s40618-013-0019-8. Epub 2014 Jan 16.

Abstract

Pregnancy is becoming a relatively common event in patients with pituitary tumors (PT), due to the increasing availability of medical treatments, which control pituitary diseases associated with the development of PT. However, the presence of PT and its treatment may be a disturbing factor for pregnancy, and pregnancy significantly influences the course and the management of PT. This review summarizes the knowledge about the management of PT during pregnancy and the occurrence of pregnancy in patients with pre-existent PT, focusing on secreting PT characterized by hormonal excess and on clinically non-functioning PT often associated to hormone deficiency, which configure the hypopituitaric syndrome.

摘要

由于控制与垂体肿瘤(PT)发生相关的垂体疾病的医学治疗手段日益增多,妊娠在PT患者中变得相对常见。然而,PT的存在及其治疗可能是妊娠的一个干扰因素,而妊娠也会显著影响PT的病程及管理。本综述总结了关于妊娠期间PT管理以及既往存在PT的患者妊娠情况的知识,重点关注以激素分泌过多为特征的分泌性PT以及常与激素缺乏相关的临床无功能PT,后者构成垂体功能减退综合征。

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