下垂体腺的良性和恶性瘤
Luigi Albano1, Marco Losa2, Lina Raffaella Barzaghi2
1Department of Neurosurgery and Gamma Knife Radiosurgery, I.R.C.C.S. Ospedale San Raffaele, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy. albano.luigi@hsr.it.
Advances in experimental medicine and biology
|July 15, 2023
概括
下垂体瘤,常见的大脑瘤,包括腺瘤和新实体. 诊断包括激素和眼科评估,多式治疗包括手术和治疗,以获得最佳结果.
科学领域:
- 神经瘤学神经瘤学
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 下垂体瘤占大脑瘤的10-15%,腺瘤是最常见的 (超过80%).
- 2017年世卫组织的分类引入了像 pituitary blastoma 这样的新实体,强调了他的病理学和分子遗传学.
- 虽然大多数垂体瘤是零星的,但5%与家族综合征有关.
研究的目的:
- 为了提供对常见的垂体腺瘤的全面概述.
- 专注于流行病学,最新的病理特征,诊断方法,治疗方法和预后.
- 为了突出最近在下垂体瘤分类和管理方面的进展.
主要方法:
- 对 pituitary 瘤的当前文献和分类系统的审查.
- 诊断评估的分析,包括荷尔蒙测定和眼科检查.
- 综合关于治疗策略的信息,包括手术,放射和医学治疗.
主要成果:
- 垂体瘤存在激素失衡,缺陷或像视觉障碍这样的质量影响.
- 脑膜外科手术是大多数垂体瘤的主要治疗方法,除了前乳腺瘤 (医学疗法).
- 多种模式的方法对于管理复杂或侵略性垂体瘤至关重要,癌的预后不佳.
结论:
- 准确的诊断需要全面的荷尔蒙和眼科评估.
- 下垂体瘤的治疗策略正在不断发展,往往需要采用多模式的方法.
- 侵袭性垂体瘤和癌症存在重大管理挑战,治疗选择有限,预后不佳.
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