거대 뇌하수체 선종

• 영문명: Giant pituitary adenomas
• 발행기관: 대한두개저학회
• 저자명: 신동원 이기택 김우경
• 간행물 정보: 『대한두개저학회지』제18권 제1호, 6~17쪽, 전체 12쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2023.05.31

영문 초록

A giant pituitary adenoma remains a major challenge for neurosurgeons, despite advances in en-doscopic endonasal surgery. These tumors can grow in different directions, which can affect the surrounding neurovascular structures. When the tumor grows towards the suprasellar region, it can affect important structures such as the optic nerves, anterior cerebral arteries, and hypothalamus. When it occupies the interpeduncular and prepontine cisterns, the oculomotor nerves or posterior communicating arteries may be at risk. Postoperative hemorrhage due to incomplete resection is also a concern and can lead to the need for revisional surgery or another surgical approach. Patients with giant pituitary adenomas typically have longer hospital stays due to the high rates of postoperative complications, such as cerebrospinal fluid leakage, diabetes insipidus, and infection. Gross total re-section rates are also lower for these types of tumors. This study provides a comprehensive review of the literature to date and reports various clinical outcomes associated with giant pituitary adenomas.

목차

INTRODUCTION

CLASSIFICATION

SYMPTOMS

TREATMENT

MEDICAL TREATMENT

RADIOTHERAPY/RADIOSURGERY

CONCLUSION

CONFLICT OF INTEREST

ORCID

REFERENCES

키워드

Pituitary neoplasms Endoscopy Prolactinoma Skull base neoplasms