医学
放射治疗
显微外科
医疗
组织病理学
外科
内科学
垂体腺瘤
腺瘤
垂体瘤
放射科
肢端肥大症
病理
重症监护医学
作者
Carlos Pérez-López,Cristina Álvarez-Escolá,Alberto Isla Guerrero
标识
DOI:10.1016/j.medcle.2020.08.007
摘要
The treatment of non-functioning pituitary adenomas raises two questions: when should they be treated and what role does each available treatment play. We review the usefulness of the different treatments and propose a therapeutic scheme based on the existing literature. Active treatment of pituitary adenomas should be performed when they produce symptoms, have contact with the optic tract, or have grown on imaging tests. The treatment is surgical, using radiotherapy for cases with significant non-removable postsurgical tumour remnants and for those in which histopathology studies show aggressive features. Medical treatment is reserved for situations in which surgical and radiotherapy treatments have been exhausted. The most advisable surgical treatment is endoscopic, although experienced neurosurgeons achieve results with microsurgery that are only slightly inferior.
科研通智能强力驱动
Strongly Powered by AbleSci AI