Giant Pituitary Adenoma - Special Considerations.
Abstract
Giant pituitary adenomas (GPAs) comprise 5% to 15% of pituitary adenomas, but have higher rates of extrasellar invasion, subtotal resection, surgical morbidity, and recurrence. With the possible exception of giant prolactinomas, GPAs require surgical decompression. On review of 3 decades of case series encompassing 699 microsurgical transsphenoidal (MT), 1060 endoscopic endonasal trans-sphenoidal (EET), and 513 transcranial (TC) patients, gross total resection and recurrence rates were comparable across modalities, but the EET approach had lower perioperative mortality and superior restoration of visual function. Each approach has unique indications. Combined EET-TC approaches for minimizing residual tumor represent another area of study.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 합병증 | extrasellar
|
scispacy | 1 | ||
| 약물 | EET
→ endoscopic endonasal trans-sphenoidal
|
scispacy | 1 | ||
| 기법 | endoscopic
|
내시경 | dict | 1 | |
| 질환 | Pituitary Adenoma
|
C0032000
Pituitary Adenoma
|
scispacy | 1 | |
| 질환 | Giant pituitary adenomas
|
C0032000
Pituitary Adenoma
|
scispacy | 1 | |
| 질환 | pituitary adenomas
|
C0032000
Pituitary Adenoma
|
scispacy | 1 | |
| 질환 | prolactinomas
|
C0033375
Prolactinoma
|
scispacy | 1 | |
| 질환 | EET-TC
|
scispacy | 1 | ||
| 질환 | tumor
|
C0027651
Neoplasms
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
Adenoma; Endoscopy; Humans; Pituitary Neoplasms; Retrospective Studies; Treatment Outcome
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