Two-stage surgical treatment of giant pituitary adenomas

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Surgical treatment of giant pituitary adenomas.

Multidirectional extension and invasive spread are important features of giant pituitary adenomas. Operability cannot be established merely by determining the size of the most prominent part of the tumour. Detailed radiological evaluation with plain films, computed tomography, angiography, and air studies all contribute to evaluation of the precise anatomy before surgery. In the final decision ...

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Chapter 16. Surgical Treatment of Pituitary Adenomas

Pituitary adenomas may be classified either according to their size or their functional status (Table 1). Those tumors that measure 10 mm or less in diameter are considered microadenomas; macroadenomas are those larger than 10 mm. Macroadenomas may also be sub-categorized as "giant" if their extent reaches far beyond the normal confines of the pituitary region or their greatest diameter exceeds...

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Surgical management of pituitary adenomas.

As experience with endocrine diagnosis, radiologic evaluation, and transsphenoidal microsurgery has accumulated, more effective therapy has become available for patients with pituitary adenomas. The amelioration of the various endocrinopathies and the potential for restoration of vision in patients with visual impairment make this aspect of modern neurosurgery most satisfying, both for the pati...

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[Treatment of pituitary adenomas].

There has been a dramatic development in the treatment of pituitary adenomas during the last two decades. The main factors which led to this development were the introduction of transsphenoidal surgery, the development of new imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI) and the introduction of newer dopaminergic agents. Present status of the treatment...

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The surgical treatment of pituitary adenomas in the eighth decade.

BACKGROUND The surgical treatment of pituitary adenomas in elderly patients (i.e., over 70 years of age) is a special problem because of the increased rate of perioperative complications and the reduced tolerance of postoperative fluid and electrolyte imbalance. Therefore, the unquestionable progress in the pharmacological and radiotherapy may not allow these patients the option of radical surg...

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ژورنال

عنوان ژورنال: Ukrainian Neurosurgical Journal

سال: 2013

ISSN: 2412-8791,1810-3154

DOI: 10.25305/unj.51875