AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY DISEASE STATE CLINICAL REVIEW: POSTOPERATIVE MANAGEMENT FOLLOWING PITUITARY SURGERY

被引：33
作者：
Woodmansee, Whitney W. [1 ]
Carmichael, John [2 ,3 ]
Kelly, Daniel [4 ]
Katznelson, Laurence [5 ,6 ]
机构：
[1] Harvard Univ, Sch Med, Dept Med, Brigham & Womens Hosp, Boston, MA USA
[2] Univ So Calif, Keck Sch Med, Dept Med, Los Angeles, CA 90033 USA
[3] Univ So Calif, Keck Sch Med, Dept Neurosurg, Los Angeles, CA 90033 USA
[4] Providence St Johns Hlth Ctr, John Wayne Canc Inst, Santa Monica, CA USA
[5] Stanford Univ, Dept Med, Sch Med, Stanford, CA 94305 USA
[6] Stanford Univ, Sch Med, Dept Neurosurg, Stanford, CA 94305 USA
来源：
ENDOCRINE PRACTICE | 2015年 / 21卷 / 07期
关键词：
LONG-TERM REMISSION; MORNING CORTISOL-LEVELS; OF-THE-LITERATURE; TRANSSPHENOIDAL SURGERY; CUSHINGS-DISEASE; ADRENAL AXIS; DIABETES-INSIPIDUS; PERSONAL-EXPERIENCE; PRACTICE GUIDELINE; ADENOMA SURGERY;
D O I：
10.4158/EP14541.DSCR
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Pituitary lesions are common in the general population. Patients can present with a wide range of signs and symptoms that can be related to tumor mass effects or pituitary hormonal alterations. Evaluation involves assessing patients for the extent of tumor burden and pituitary hyperor hypofunction and includes clinical exams, hormonal testing, and brain imaging. Preoperative diagnosis and treatment planning generally require a multidisciplinary team approach with expertise from endocrinologists, neurosurgeons, neuro-ophthalmologists, and neuroradiologists. This review will outline considerations for the evaluation and management of patients with pituitary masses at each stage in their treatment including the pre-, peri- and postoperative phases.
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收藏
页码：832 / 838
页数：7
相关论文
共 51 条
[1]   Comparison of the low dose short synacthen test (1 μg), the conventional dose short synacthen test (250 μg), and the insulin tolerance test for assessment of the hypothalamo-pituitary-adrenal axis in patients with pituitary disease [J].
Abdu, TAM ;
Elhadd, TA ;
Neary, R ;
Clayton, RN .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1999, 84 (03) :838-843
[2]   Early post-operative ACTH and cortisol as predictors of remission in Cushing's disease [J].
Acebes, J. J. ;
Martino, J. ;
Masuet, C. ;
Montanya, E. ;
Soler, J. .
ACTA NEUROCHIRURGICA, 2007, 149 (05) :471-+
[3]   Long-term remission and recurrence rates in Cushing's disease: predictive factors in a single-centre study [J].
Alexandraki, Krystallenia I. ;
Kaltsas, Gregory A. ;
Isidori, Andrea M. ;
Storr, Helen L. ;
Afshar, Farhad ;
Sabin, Ian ;
Akker, Scott A. ;
Chew, Shern L. ;
Drake, William M. ;
Monson, John P. ;
Besser, G. Michael ;
Grossman, Ashley B. .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2013, 168 (04) :639-648
[4]   Predictive value of serum prolactin levels measured immediately after transsphenoidal surgery [J].
Amar, AP ;
Couldwell, WT ;
Chen, JCT ;
Weiss, MH .
JOURNAL OF NEUROSURGERY, 2002, 97 (02) :307-314
[5]   Which patients benefit from provocative adrenal testing after transsphenoidal pituitary surgery? [J].
Auchus, RJ ;
Shewbridge, RK ;
Shepherd, MD .
CLINICAL ENDOCRINOLOGY, 1997, 46 (01) :21-27
[6]   Transsphenoidal surgery for pituitary tumors in the United States, 1996-2000: Mortality, morbidity, and the effects of hospital and surgeon volume [J].
Barker, FG ;
Klibanski, A ;
Swearingen, B .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (10) :4709-4719
[7]   The role of pharmacotherapy in perioperative management of patients with acromegaly [J].
Ben-Shlomo, A ;
Melmed, S .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (03) :963-968
[8]   Treatment of adrenocorticotropin-dependent Cushing's syndrome: A consensus statement [J].
Biller, B. M. K. ;
Grossman, A. B. ;
Stewart, P. M. ;
Melmed, S. ;
Bertagna, X. ;
Bertherat, J. ;
Buchfelder, M. ;
Colao, A. ;
Hermus, A. R. ;
Hofland, L. J. ;
Klibanski, A. ;
Lacroix, A. ;
Lindsay, J. R. ;
Newell-Price, J. ;
Nieman, L. K. ;
Petersenn, S. ;
Sonino, N. ;
Stalla, G. K. ;
Swearingen, B. ;
Vance, M. L. ;
Wass, J. A. H. ;
Boscaro, M. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2008, 93 (07) :2454-2462
[9]   Complications of transsphenoidal surgery: Results of a national survey, review of the literature, and personal experience [J].
Ciric, I ;
Ragin, A ;
Baumgartner, C ;
Pierce, D .
NEUROSURGERY, 1997, 40 (02) :225-236
[10]   NORMAL CORTISOL RESPONSE TO CORTICOTROPIN IN PATIENTS WITH SECONDARY ADRENAL FAILURE [J].
CUNNINGHAM, SK ;
MOORE, A ;
MCKENNA, TJ .
ARCHIVES OF INTERNAL MEDICINE, 1983, 143 (12) :2276-2279
123456