关键词: Acromegalia Acromegaly Adenoma hipofisario no funcionante Cirugía transesfenoidal Cushing’s disease Diabetes insipidus Diabetes insípida Déficit de vasopresina Enfermedad de cushing Hiponatremia Hyponatremia Non-functioning pituitary tumor PITNET Pituitary tumor SIADH Transsphenoidal surgery Tumor hipofisario Vasopressin deficiency

Mesh : Humans Pituitary Neoplasms / surgery Neurosurgery Consensus Neurosurgical Procedures Brain Neoplasms

来  源:   DOI:10.1016/j.neucie.2023.07.007

Abstract:
Pituitary tumors (PT) account for 15% of intracranial tumors affect 10.7-14.4% of the population although the incidence of clinically relevant PT is 5.1 cases/100,000 inhabitants. Surgical treatment is indicated in PTs with hormone hypersecretion (except for prolactin-producing PTs) and those with local compressive or global neurological symptoms. Multidisciplinary care, is essential for patients with PTs, preferably delivered in a center of excellence and based on a well-defined care protocol. In order to facilitate and standardize the clinical procedures for this type of tumor, this document gathers the positioning of the Neuroendocrinology Knowledge Area of the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Neurosurgery (SENEC) on the management of patients with PTs and their preoperative, surgical and postoperative follow-up.
摘要:
垂体肿瘤(PT)占颅内肿瘤的15%,影响人口的10.7%至14.4%,尽管临床相关PT的发生率为5.1例/100,000居民。手术治疗适用于激素分泌过多的PT(产生催乳素的PT除外)和具有局部压迫或整体神经系统症状的PT。多学科护理,对PT患者至关重要,最好在卓越中心交付,并基于明确的护理方案。为了方便和规范这类肿瘤的临床操作,本文件收集了西班牙内分泌与营养学会(SEEN)和西班牙神经外科学会(SENEC)的神经内分泌学知识领域对PT患者及其术前管理的定位,手术和术后随访。
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