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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Management of clinically non-functioning pituitary adenoma
Philippe Chanson1, Gerald Raverot2, Frédéric Castinetti3
1Service d'endocrinologie et des maladies de la reproduction, hôpital de Bicêtre, Assistance publique-Hôpitaux de Paris, 94275 Le Kremlin-Bicêtre, France; UMR S1185, faculté de médecine Paris-Sud, université Paris-Sud, 94276 Le Kremlin-Bicêtre, France; INSERM U1185, 94276 Le Kremlin-Bicêtre, France.
Annales D'Endocrinologie
|June 15, 2015
Summary
Non-functioning pituitary adenomas (NFPAs) are common pituitary tumors. This article presents French expert guidelines for managing NFPAs, addressing diagnosis, treatment, and follow-up controversies.
Area of Science:
- Endocrinology
- Neurosurgery
- Oncology
Background:
- Non-functioning pituitary adenomas (NFPAs) represent 15-30% of pituitary tumors.
- Diagnosis is often incidental or due to mass effect.
- Management of NFPAs, including follow-up and recurrence, presents challenges.
Purpose of the Study:
- To establish clinical guidelines for the management of NFPAs.
- To address controversial aspects of NFPA diagnosis and treatment.
- To provide recommendations from a multidisciplinary expert group.
Main Methods:
- A consensus-based approach was used by a French expert working group.
- The group comprised endocrinologists, neurosurgeons, ophthalmologists, neuroradiologists, pathologists, and biologists.
- Guidelines were developed based on current evidence and expert opinion.
Main Results:
- The article outlines diagnostic criteria and imaging recommendations for NFPAs.
- It details surgical indications and postoperative management strategies.
- Recommendations for hormonal evaluation, follow-up, and management of recurrence are provided.
Conclusions:
- Standardized guidelines are crucial for optimal NFPA patient care.
- Multidisciplinary collaboration is essential for managing complex pituitary adenomas.
- These guidelines aim to reduce controversies and improve outcomes for NFPA patients.
Keywords:
Adénomes gonadotropesAdénomes hypophysaires non fonctionnelsAdénomes hypophysaires non sécrétantsAdénomes hypophysaires silencieuxApoplexie hypophysaireChirurgie hypophysaireGonadotroph adenomaIncidentalomes hypophysairesNon-functioning pituitary adenomaNon-secreting pituitary adenomaPituitary apoplexyPituitary incidentalomaPituitary surgeryRadiation therapyRadiothérapieSilent pituitary adenoma
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