Neuroendocrinology unit, department of endocrinology and nutrition, hospital universitario Ramón y Cajal, M-607, km. 9, 100, 28034 Madrid, Spain; Instituto de investigación Sanitaria Ramón y Cajal (IRYCIS), Madrid, Spain.
Neuroendocrinology unit, department of endocrinology and nutrition, hospital universitario Ramón y Cajal, M-607, km. 9, 100, 28034 Madrid, Spain.
Ann Endocrinol (Paris). 2021 Feb;82(1):20-29. doi: 10.1016/j.ando.2020.11.001. Epub 2020 Dec 2.
The optimal planning of preoperative diagnosis, management and treatment of pituitary tumors (PT) candidates to pituitary surgery (PS) requires a multidisciplinary approach involving a team of endocrinologists, neurosurgeons, ENT, neuro-ophthalmologists and neuroradiologists with experience in pituitary diseases. Such teams improve surgical results, minimize complications and facilitate their correct treatment if occurring, and optimize the hormonal, ophthalmological and radiological preoperative and follow-up evaluation. We have developed a clinical practice protocol for patients with PT who are candidates to PS based on the most recent national and international guidelines and the relevant literature regarding PT published in the last years. The protocol has been elaborated by a 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 perioperative and surgical management of PT thereby facilitating the management of patients undergoing PS.
对垂体瘤（PT）患者进行经蝶窦垂体手术（PS）的术前诊断、管理和治疗的最佳规划需要多学科方法，涉及内分泌学家、神经外科医生、耳鼻喉科医生、神经眼科医生和神经放射科医生组成的团队，这些团队在垂体疾病方面有丰富的经验。此类团队可以提高手术结果，最大限度地减少并发症，并在发生并发症时为其提供正确的治疗，还可以优化激素、眼科和影像学的术前和随访评估。我们根据最近的国家和国际指南以及过去几年发表的有关垂体瘤的相关文献，为有 PS 适应证的 PT 患者制定了临床实践方案。该方案由西班牙垂体肿瘤卓越中心（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。我们制定本指南旨在与参与垂体瘤围手术期和手术管理的其他中心分享我们的经验，从而促进 PS 患者的管理。
