Leese G, Jeffreys R, Vora J
Department of Medicine, Royal liverpool University Hospital, UK.
Postgrad Med J. 1997 Aug;73(862):507-8. doi: 10.1136/pgmj.73.862.507.
A patient with a pituitary adenoma secreting follicle-stimulating hormone with co-existent primary hyperaldosteronism is described. After his second transsphenoidal surgery, the patient developed a Staphylococcus aureus pituitary abscess. Symptoms improved after abscess drainage. Subsequent cabergoline therapy arrested the deterioration of symptoms. and decreased serum follicle-stimulating hormone concentrations. Cabergoline may be a useful treatment for aggressively growing non-prolactin-secreting pituitary adenomas.
本文描述了一名患有分泌促卵泡生成素的垂体腺瘤并伴有原发性醛固酮增多症的患者。在其第二次经蝶窦手术后,该患者发生了金黄色葡萄球菌垂体脓肿。脓肿引流后症状改善。随后的卡麦角林治疗阻止了症状恶化,并降低了血清促卵泡生成素浓度。卡麦角林可能是治疗侵袭性生长的非泌乳素分泌型垂体腺瘤的一种有效疗法。