Araujo-Castro M, Pascual-Corrales E, Martínez San Millan J S, Rebolleda G, Pian H, Ruz-Caracuel I, De Los Santos Granados G, Ley Urzaiz L, Escobar-Morreale H F, Rodríguez Berrocal V
Neuroendocrinology Unit, Department of Endocrinology & Nutrition, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Hospital Universitario Ramón y Cajal, M-607, km. 9, 100, 28034, Madrid, Spain.
Endocrine. 2020 Jul;69(1):5-17. doi: 10.1007/s12020-020-02247-y. Epub 2020 Mar 13.
There is a lack of evidence on timing, frequency, and duration of postoperative endocrine, radiologic, and ophthalmologic assessments that should be performed after pituitary surgery (PS). However, it is known that careful optimization of treatment and follow-up strategies as well as a multidisciplinary approach may have a significant impact on long-term outcomes, improving surgical results, minimize complications and facilitate their correct treatment if occurring, and optimize the hormonal, ophthalmological, and radiological reassessment throughout the follow-up. Considering that there are no specific guidelines on the postoperative management of patients with pituitary tumors (PT), we present our protocol for the postoperative management of patients with PT. It has been elaborated by the multidisciplinary team of a Spanish Pituitary Tumor Center of Excellence (PTCE) that includes at least one neurosurgeon, ENT, neuroradiologist, neuro-ophthalmologist, endocrine pathologist and endocrinologist specialized in pituitary diseases. We elaborated this guideline with the aim of sharing our experience with other centers involved in the management of PT thereby facilitating the postoperative management of patients submitted to PS.
关于垂体手术后应进行的术后内分泌、放射学和眼科评估的时间、频率和持续时间，目前缺乏证据。然而，众所周知，精心优化治疗和随访策略以及采用多学科方法可能会对长期结果产生重大影响，改善手术效果，将并发症降至最低，并在并发症发生时促进其正确治疗，以及在整个随访过程中优化激素、眼科和放射学重新评估。鉴于目前尚无垂体瘤患者术后管理的具体指南，我们介绍我们的垂体瘤患者术后管理方案。该方案由西班牙一家卓越垂体瘤中心（PTCE）的多学科团队制定，该团队至少包括一名神经外科医生、耳鼻喉科医生、神经放射科医生、神经眼科医生、内分泌病理学家和专门从事垂体疾病的内分泌学家。我们制定本指南的目的是与其他参与垂体瘤管理的中心分享我们的经验，从而促进接受垂体手术患者的术后管理。
