Dietel P, Heberling H J, Lohmann D, Brachmann J
Fachkrankenhaus für Innere Medizin, Bereiches Medizin der Karl-Marx-Universität Leipzig.
Z Gesamte Inn Med. 1989 May 15;44(10):293-6.
In 88 patients with operated pituitary tumours a retrospective statement of the duration of the disease up to the beginning of the therapy was carried out. In the case of the prolactin secreting tumours the times of anamnesis are approximately only half as long as in the comparable data of literature. The cause of this may by the large proportion of macroprolactinomas among our patients. In acromegaly the duration of the disease is from 3/4 to 25 years. By their insiduous clinical progression hormone-inactive tumours render an exact dating of the beginning of the disease impossible. Issuing from the still too long times of anamnesis the clinical symptoms of the endocrine-active and endocrine-inactive pituitary tumours relevant to practice are demonstrated. Including these symptoms into differential-diagnostic consideration an early diagnosing should be possible at least in endocrine-active tumours.
对88例接受过垂体瘤手术的患者进行了回顾性研究,统计了疾病至治疗开始的持续时间。在分泌催乳素的肿瘤病例中,病史时间大约只有文献中可比数据的一半。原因可能是我们的患者中大部分是大催乳素瘤。在肢端肥大症中,疾病持续时间为3/4至25年。由于激素无活性肿瘤临床进展隐匿,无法准确确定疾病开始的时间。鉴于病史时间仍然过长,文中展示了与实际相关的内分泌活性和内分泌无活性垂体瘤的临床症状。将这些症状纳入鉴别诊断考虑,至少在内分泌活性肿瘤中应能实现早期诊断。