[Differential diagnosis and treatment of pituitary adenomas]. / Differenzialdiagnostik und Therapie der Hypophysenadenome.
HNO
; 67(4): 307-318, 2019 Apr.
Article
em De
| MEDLINE
| ID: mdl-30790007
ABSTRACT
Pituitary adenomas are among the most common primary brain tumors. These tumors can produce all hormones of the anterior pituitary and thus cause endocrine diseases. Compression of the pituitary gland, the surrounding cranial nerves, or brain structures can lead to hypopituitarism, cranial nerve deficits, or diverse neurological symptoms. Visual impairment, typically with bitemporal hemianopsia, is the most common cardinal symptom. The diagnostic workup requires broad interdisciplinary cooperation. With the exception of prolactinoma, the treatment of choice for symptomatic pituitary adenoma is transnasal transsphenoidal resection. For prolactinoma, dopamine agonistic therapy is the primary treatment. Adequate hormone replacement therapy is essential in cases of hypopituitarism. Long-term follow-up is a vital part of the treatment concept.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Hipofisárias
/
Adenoma
/
Hipopituitarismo
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
De
Revista:
HNO
Ano de publicação:
2019
Tipo de documento:
Article