Pituitary adenoma surgery: Difference between revisions

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{{CMG}} {{AE}} {{AAM}}
{{CMG}} {{AE}} {{AAM}}
==Overview==
==Overview==
The transsphenoidal microsugrical approach is the mainstay of treatment for [[growth hormone]]-(GH) producing, [[adrenocorticotropic]] hormone-(ACTH) producing, and endocrine-inactive adenomas.
The transsphenoidal microsugrical approach is the mainstay of treatment for [[growth hormone]]-(GH) producing, [[adrenocorticotropic hormone]]-(ACTH) producing, and endocrine-inactive adenomas.
==Surgery==
==Surgery==
Surgical treatment and surgical contraindication for pituitary adenoma:<ref name=national cancer institute> Pituitary Tumor (2015) http://www.cancer.gov/types/pituitary/hp/pituitary-treatment-pdq#section/_13. Accessed on 9 28 2015 </ref>
Surgical treatment and surgical contraindication for pituitary adenoma:<ref name=national cancer institute> Pituitary Tumor (2015) http://www.cancer.gov/types/pituitary/hp/pituitary-treatment-pdq#section/_13. Accessed on 9 28 2015 </ref>

Revision as of 15:23, 28 September 2015

Pituitary adenoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]

Overview

The transsphenoidal microsugrical approach is the mainstay of treatment for growth hormone-(GH) producing, adrenocorticotropic hormone-(ACTH) producing, and endocrine-inactive adenomas.

Surgery

Surgical treatment and surgical contraindication for pituitary adenoma:

  • The transsphenoidal microsurgical approach to a pituitary lesion is the most widely employed surgical approach to pituitary lesions and represents a major development in the safe surgical treatment of both hormonally active and nonfunctioning tumors.
  • This approach is often successful in debulking tumors, even those that have a significant suprasellar extension.
  • A contraindication to this approach includes tumors with a significant suprasellar extension with an hourglass-shaped narrowing between the intrasellar and suprasellar component because blind attempts to reach the suprasellar tumor may lead to cerebral damage.
  • An infection in the sphenoid sinus is potentially a contraindication to the transsphenoidal approach

References