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垂体细胞瘤:三例报告及文献复习

Pituicytoma: A report of three cases and literature review.

作者信息

Yang Xiaoyu, Liu Xiaoliang, Li Wensen, Chen Dawei

机构信息

Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.

出版信息

Oncol Lett. 2016 Nov;12(5):3417-3422. doi: 10.3892/ol.2016.5119. Epub 2016 Sep 12.

DOI:10.3892/ol.2016.5119
PMID:27900014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5103963/
Abstract

Pituicytoma is a rare tumor of the sellar and suprasellar regions, arising from the pituicytes, which are specialized glial cells in the neurohypophysis and infundibulum. Due to its rarity, ambiguity persists over the diagnosis, management and prognosis of pituicytoma. The current study presents a case series of three patients, each with a histopathological diagnosis of pituicytoma. A summary of the clinical manifestations, radiological characteristics, histopathological features, treatment strategies and prognoses are presented. In addition, 78 cases of pituicytoma, identified in a search of the published literature in Pubmed, are profiled. Pituicytoma typically presents with dysfunction of the optic nerve and pituitary. The radiological characteristics are nonspecific; diagnosis is typically made on the basis of histopathological results. The tumor is slow growing and benign and is amenable to surgical treatment by gross total resection; subsequent tumor recurrence is rare. A definitive assessment of prognosis requires an extended follow-up in a larger cohort.

摘要

垂体细胞瘤是一种罕见的鞍区和鞍上区肿瘤,起源于垂体细胞,垂体细胞是神经垂体和漏斗部的特殊神经胶质细胞。由于其罕见性,垂体细胞瘤的诊断、管理和预后仍存在模糊性。本研究报告了3例病例系列,每例均经组织病理学诊断为垂体细胞瘤。文中呈现了临床表现、放射学特征、组织病理学特征、治疗策略和预后的总结。此外,还对在PubMed上检索到的78例垂体细胞瘤病例进行了分析。垂体细胞瘤通常表现为视神经和垂体功能障碍。放射学特征不具有特异性;诊断通常基于组织病理学结果。该肿瘤生长缓慢且为良性,可通过全切除手术治疗;随后肿瘤复发罕见。对预后进行明确评估需要在更大的队列中进行长期随访。

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本文引用的文献

1
Pituicytomas and spindle cell oncocytomas: modern case series from the University of California, San Francisco.垂体细胞瘤和梭形细胞嗜酸细胞瘤:来自加利福尼亚大学旧金山分校的现代病例系列
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Surgical management of pituicytomas: case series and comprehensive literature review.垂体细胞瘤的外科治疗:病例系列及文献综述
Pituitary. 2014 Oct;17(5):399-413. doi: 10.1007/s11102-013-0515-z.
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Childhood giant pituicytoma: a report and review of the literature.儿童巨大垂体细胞瘤:一例报告及文献复习
Clin Neurol Neurosurg. 2013 Oct;115(10):1943-50. doi: 10.1016/j.clineuro.2013.07.032. Epub 2013 Aug 6.
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Pituicytoma: report of three cases with review of literature.垂体瘤:三例报告并文献复习。
Pathol Res Pract. 2013 Jan 15;209(1):52-8. doi: 10.1016/j.prp.2012.10.006. Epub 2012 Dec 11.
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40-year old female with a sellar mass.40 岁女性,鞍区肿块。
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Pituicytoma: Report of two cases.垂体细胞瘤:两例报告。
Oncol Lett. 2011 Jan;2(1):37-41. doi: 10.3892/ol.2010.209. Epub 2010 Nov 23.
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Pituicytomas: radiological findings, clinical behavior and surgical management.垂体瘤:影像学表现、临床行为和手术治疗。
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Case of pituicytoma in childhood.儿童垂体细胞瘤病例。
Childs Nerv Syst. 2012 Jan;28(1):11-2. doi: 10.1007/s00381-011-1634-3. Epub 2011 Nov 18.
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Pituicytoma: overview of treatment strategies and outcome.垂体瘤:治疗策略和结果概述。
Pituitary. 2012 Jun;15(2):227-36. doi: 10.1007/s11102-011-0317-0.
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Pituicytoma in a patient with Cushing's disease: case report and review of the literature.库欣病患者的垂体细胞瘤:病例报告及文献复习。
Pituitary. 2012 Dec;15 Suppl 1:S10-6. doi: 10.1007/s11102-010-0262-3.