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垂体结石:一例病例报告及文献综述

Pituitary stone: a case report and review of the literature.

作者信息

Tanriover Necmettin, Kucukyuruk Baris, Hatipoglu Esra, Comunoglu Nil

机构信息

Istanbul University, Cerrahpasa Medical Faculty, Department of Neurosurgery, Istanbul, Turkey.

出版信息

Turk Neurosurg. 2014;24(6):967-73. doi: 10.5137/1019-5149.JTN.9688-13.0.

Abstract

A 39-year-old male without any significant complaints or symptoms presented with a calcified lesion located at the sellar region. Total removal of the lesion has been achieved via an endoscopic endonasal transsphenoidal approach. Histopathological examination of the lesion revealed a pituitary stone. This report describes the first pituitary stone formed within a plurihormonal pituitary adenoma and also differs from previous studies in means of chosen surgical method that is the first endoscopic approach to a pituitary stone. Additionally, by reviewing previous cases, a classification has been proposed and possible pathophysiological mechanisms behind this rare entity have been discussed.

摘要

一名39岁男性,无任何明显不适或症状,因蝶鞍区钙化病灶就诊。通过鼻内镜经蝶窦入路已将病灶完全切除。病灶的组织病理学检查显示为垂体结石。本报告描述了首例在多激素垂体腺瘤内形成的垂体结石,并且在所选手术方法上也与以往研究不同,这是首次采用内镜方法处理垂体结石。此外,通过回顾既往病例,提出了一种分类方法,并讨论了这种罕见疾病背后可能的病理生理机制。

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