Servicio de Endocrinología y Nutrición, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Universidad de Alcalá, Madrid, Spain.
Servicio de Neurocirugía, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Universidad de Alcalá, Madrid, Spain.
Endocrinol Diabetes Nutr (Engl Ed). 2023 Nov;70(9):592-608. doi: 10.1016/j.endien.2023.11.001. Epub 2023 Nov 14.
Pituitary tumors (PT) account for 15% of intracranial tumors affect 10.7%-14.4% of the population although the incidence of clinically relevant PT is 5.1 cases/100,000 inhabitants. Surgical treatment is indicated in PTs with hormone hypersecretion (except for prolactin-producing PTs) and those with local compressive or global neurological symptoms. Multidisciplinary care, is essential for patients with PTs, preferably delivered in a center of excellence and based on a well-defined care protocol. In order to facilitate and standardize the clinical procedures for this type of tumor, this document gathers the positioning of the Neuroendocrinology Knowledge Area of the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Neurosurgery (SENEC) on the management of patients with PTs and their preoperative, surgical and postoperative follow-up.
垂体瘤（PT）占颅内肿瘤的 15%，影响 10.7%-14.4%的人群，尽管临床上相关的 PT 的发病率为 5.1 例/10 万居民。有激素分泌过多（除催乳素产生的 PT 外）和有局部压迫或全局神经症状的 PT 需要手术治疗。多学科护理对 PT 患者至关重要，最好在卓越中心进行，并基于明确的护理方案。为了方便和规范这种类型肿瘤的临床程序，本文件汇集了西班牙内分泌学和营养学会（SEEN）的神经内分泌学知识领域以及西班牙神经外科学会（SENEC）对 PT 患者及其术前、手术和术后随访管理的定位。
