下垂体incidentaloma:一个下垂体协会国际共识指南声明
Maria Fleseriu1, Mark Gurnell2, Ann McCormack3
1Oregon Health & Science University, Portland, OR, USA. fleseriu@ohsu.edu.
Nature reviews. Endocrinology
|June 24, 2025
概括
这一共识为管理下垂体附带瘤提供了指导方针,这是大脑成像中的意想不到的发现. 建议采用个性化方法,考虑患者因素和病变特征,以获得最佳护理.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 眼科医生 眼科 眼科
背景情况:
- 在成像研究中经常发现与垂体疾病无关的垂体附带瘤.
- 目前的管理策略缺乏标准化的基于证据的共识.
研究的目的:
- 建立一个以证据为基础的共识,用于诊断和管理垂体瘤.
- 为多学科咨询,成像,荷尔蒙测试和视觉评估提供建议.
主要方法:
- 由下垂体学会召开了一个共识研讨会.
- 采用了基于证据的审查和专家审议.
- 为各种类型的垂体病变和患者群体制定了建议.
主要成果:
- 具体标准概述了内分泌学,神经外科和眼科咨询的具体标准.
- 为专门的垂体成像,激素检测和视觉评估提供了指导方针.
- 确定了对垂体腺瘤和囊性病变进行手术切除的指示.
结论:
- 垂体间接瘤的管理需要基于临床背景的个性化方法.
- 建议在复杂病例或考虑干预时咨询多学科的垂体瘤中心.
- 针对特定的患者群体,包括患有MEN1的患者,儿童,青少年,老年人和孕妇,需要特别考虑.
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