巨大的临床非功能性垂体腺瘤呈现为新发病的通用性性-性发作:一个病例报告
Pumudu Weerasekara1, Nadeeka Chandraratne2, Sunil Lakshman Perera3
1Faculty of Medicine, University of Colombo, Colombo, 00800, Sri Lanka.
International medical case reports journal
|May 27, 2024
概括
巨型临床非功能性垂体腺瘤 (GCNFPAs) 很少引起发作. 这一案例凸显了彻底评估诊断垂体瘤的重要性,并在手术规划中优先考虑缓解症状.
科学领域:
- 神经内分泌学神经内分泌学
- 神经外科 神经外科
- 神经学 神经学
背景情况:
- 巨型临床非功能性垂体腺瘤 (GCNFPAs) 是缺少分泌功能的大型垂体瘤 (>4厘米).
- 它们的潜伏式生长往往会导致由于群体效应的症状,如头痛和视觉障碍,导致晚期诊断.
- 发作是GCNFPAs的一个非常罕见的症状.
研究的目的:
- 报告一种罕见的GCNFPA病例,伴有发作.
- 强调GCNFPA的诊断挑战和管理考虑.
主要方法:
- 一名63岁的妇女出现了普遍的增强性-克隆性发作.
- 核磁共振扫描显示出一个巨大的垂体病变,具有显著的质量效应.
- 通过Endonasal transsphenoidal方法进行了亚总切除.
主要成果:
- 组织学诊断是零细胞腺瘤,基67指数低 (3%).
- 患者在术后完全没有发作.
- 随访显示没有复发和症状的消失.
结论:
- 发作是GCNFPA的罕见但可能的表现.
- 彻底的患者评估对于诊断垂体瘤至关重要.
- 缓解症状应该指导手术方法的选择.
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