Kršek Michal
Vnitr Lek. 2022 Summer;68(2):127-130.
Pituitary incidentaloma are being accidentally found during imaging procedures in approximately 10% of normal population. Facing pituitary incidentalomas endocrinologists have to decide about further management based on the assessment of hormonal activity, aetiology, size, and possible compressive symptoms. Treatment of choice for prolactinomas is medical therapy. Surgical treatment is a treatment of choice for other hormonally active tumours and in case of complications as defects of visual field, pituitary apoplexy with compressive symptoms, ophthalmoplegia respectively. Tumour not indicated for surgical treatment are followed-up by imaging techniques and in indicated cases also by endocrinological or visual field evaluation.
垂体偶发瘤在大约10%的正常人群的影像学检查中被意外发现。面对垂体偶发瘤,内分泌科医生必须根据激素活性、病因、大小和可能的压迫症状评估来决定进一步的处理措施。泌乳素瘤的首选治疗方法是药物治疗。手术治疗是其他激素活性肿瘤以及出现并发症(如视野缺损、伴有压迫症状的垂体卒中、眼肌麻痹)时的首选治疗方法。不适合手术治疗的肿瘤通过影像学技术进行随访,在特定情况下也进行内分泌或视野评估。