在GH分泌的垂体腺瘤中,手术缓解失败的组织病理学和放射学预测因素
R Calandrelli1,2, D De Lucia3, S Chiloiro4,5
1Department of Oncological Radiotherapy, and Hematology, ARC Advanced Radiology Center (ARC), Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. rosalinda.calandrelli@policlinicogemelli.it.
Pituitary
|February 9, 2026
概括
T2信号强度区分了垂体腺瘤颗粒化模式,但不能预测手术缓解. 洞穴鼻腔侵袭和超过4.93mm的细胞内延伸预测了GH分泌的垂体瘤的手术缓解失败.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 垂体腺瘤分泌生长激素 (GH) 存在诊断挑战.
- 区分颗粒化模式对于理解瘤行为至关重要.
- 预测手术缓解对于患者的治疗结果至关重要.
研究的目的:
- 评估T2信号强度,以区分GH分泌的垂体腺瘤颗粒化模式.
- 确定手术缓解失败的放射学和组织学预测因素.
主要方法:
- 107个GH分泌的垂体腺瘤分析了颗粒化模式 (密集颗粒,稀疏颗粒),瘤体积,T2信号强度和细胞外延伸.
- 根据手术缓解状态分类的患者在手术后6个月.
主要成果:
- T2信号强度区分了密集颗粒和稀疏颗粒亚型.
- 亚型之间手术缓解率没有显著差异.
- 瘤体积,细胞外延伸和洞穴鼻侵入性预测了手术缓解失败.
- 细胞内延伸>4.93毫米被确定为缓解失败的标志物 (AUC=0.67).
结论:
- T2信号强度有助于对GH分泌的垂体腺瘤粒度模式进行分类.
- T2信号强度不能预测手术缓解.
- 洞穴性鼻侵袭和显著的细胞内延伸 (>4.93毫米) 表明瘤更具侵略性,并预测手术缓解失败.
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