在非功能性垂体腺瘤患者的治疗时和治疗后的垂体功能:单中心回顾性队列研究
Ziad Hussein1,2,3, Hani J Marcus4, Joan Grieve4
1Department of Diabetes and Endocrinology, Sheffield Teaching Hospitals, Sheffield, UK. ziad.hussein1@nhs.net.
Endocrine
|June 30, 2023
概括
非功能性垂体宏腺瘤通常会导致垂体下垂体. 结合手术和放射治疗增加了垂体功能障碍的风险,需要在治疗后定期进行内分泌监测.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 非功能性垂体宏腺瘤 (NFPMs) 可能导致垂体下垂体.
- 下垂体手术和放射治疗可能会进一步损害下垂体功能.
研究的目的:
- 在NFPM诊断时评估下垂体发生率.
- 评估手术和放射治疗对 pituitary 功能的影响.
- 确定治疗后内分泌恢复的可能性.
主要方法:
- 在1987年至2018年期间,对383名接受NFPM治疗的患者进行了回顾性分析.
- 纳入标准:手术治疗 (有或没有放射治疗) 和>6个月的随访.
- 收集的数据:人口统计,表现,治疗和结果.
主要成果:
- 61%的患者患有手术前垂体缺陷.
- 手术和放射治疗的结合增加了垂体激素缺陷,减少了没有缺陷的生存率 (GH,ACTH,TSH).
- 结合治疗时内分泌恢复的可能性较小;手术前的下垂体瘤增加了治疗后的风险.
结论:
- 在诊断和治疗后,NFPMs与显著的下垂体病变有关.
- 结合手术和放射治疗会增加脑下垂体功能障碍的风险.
- 定期内分泌评估对于监测垂体功能和替代疗法需求至关重要.
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