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垂体转移癌的诊断和处理
引用本文:高俊,关健,王国华,杜世伟,霍真,杨义,王任直. 垂体转移癌的诊断和处理[J]. 中国微侵袭神经外科杂志, 2011, 16(4): 165-167
作者姓名:高俊  关健  王国华  杜世伟  霍真  杨义  王任直
作者单位:1. 北京协和医学院,北京协和医院神经外科,中国医学科学院,100730
2. 潍坊市立医院神经外科,261021
3. 北京协和医学院,北京协和医院病理科,中国医学科学院,100730
摘    要:目的总结垂体转移癌的治疗经验。方法回顾性分析8例经病理确诊为垂体转移癌病人的临床资料。临床表现包括尿崩6例,动眼神经麻痹4例。行经蝶窦手术6例,开颅手术2例。结果肿瘤次全切除2例,大部分切除3例,部分切除3例。术后生存期30~260 d,平均151 d。结论垂体转移癌为罕见鞍区恶性肿瘤,手术可明确病理诊断及缓解临床症状。术后需综合治疗,同时积极寻找原发灶。

关 键 词:垂体肿瘤  转移癌  诊断  治疗  

Diagnosis and treatment of pituitary metastases
Gao Jun,Guan Jian,Wang Guohua,Du shiwei,Huo Zhen,Yang Yi,Wang Renzhi. Diagnosis and treatment of pituitary metastases[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2011, 16(4): 165-167
Authors:Gao Jun  Guan Jian  Wang Guohua  Du shiwei  Huo Zhen  Yang Yi  Wang Renzhi
Affiliation:Gao Jun1,Guan Jian1,Wang Guohua3,Du shiwei1,Huo Zhen2,Yang Yi1,Wang Renzhi1 1.Department of Neurosurgery,2.Department of Pathology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China,3.Department of Neurosurgery,Weifang Municipal Hospital,Weifang,Shandong 261021
Abstract:Objective To review the experience in treatment of pituitary metastases.Methods The clinical data of 8 patients with pituitary metastases who were diagnosed by pathological examination were analyzed retrospectively.The main symptoms included diabetes insipidus in 6 patients and oculomotor paralysis in 4.Transsphenoidal surgery was performed in 6 patients and craniotomy in 2.Results Subtotal removal of the tumor was achieved in 2 patients,major removal in 3 and partial removal in 3.The survival period ranged...
Keywords:pituitary neoplasms  metastases  diagnosis  treatment  
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