Minimally invasive approach to management of pituitary adenomas
Pituitary adenomas are the third most common benign intracranial tumor seen in neurosurgical practice. They represent >or= 15 % of all primary intracranial tumors with 25 % prevalence as reported in autopsy series. Advances in biomedical assays, imaging studies support their diagnosis and tailor...
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Veröffentlicht in: | Minimally invasive neurosurgery 2005-06, Vol.48 (3), p.169-174 |
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description | Pituitary adenomas are the third most common benign intracranial tumor seen in neurosurgical practice. They represent >or= 15 % of all primary intracranial tumors with 25 % prevalence as reported in autopsy series. Advances in biomedical assays, imaging studies support their diagnosis and tailor their management. The direct endonasal transsphenoidal surgery is the recommended intervention for adenoma resection in more than 95 %. The safety and efficacy of this intervention was enhanced by microsurgery and more recently by the introduction of neuronavigation, assisted endoscopy and intraoperative MRI. Anticipation of clinical, biochemical, radiological and surgical pitfalls by a multidisciplinary team is of paramount importance in improving treatment and preventing potential complications. |
doi_str_mv | 10.1055/s-2004-830270 |
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Anticipation of clinical, biochemical, radiological and surgical pitfalls by a multidisciplinary team is of paramount importance in improving treatment and preventing potential complications.</description><identifier>ISSN: 0946-7211</identifier><identifier>EISSN: 1439-2291</identifier><identifier>DOI: 10.1055/s-2004-830270</identifier><identifier>PMID: 16015495</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adenoma - diagnosis ; Adenoma - surgery ; Adult ; Biological and medical sciences ; Child ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Minimally Invasive Surgical Procedures - methods ; Neuronavigation - methods ; Neurosurgery ; Pituitary Neoplasms - diagnosis ; Pituitary Neoplasms - surgery ; Retrospective Studies ; Sphenoid Sinus - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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N</creatorcontrib><title>Minimally invasive approach to management of pituitary adenomas</title><title>Minimally invasive neurosurgery</title><addtitle>Minim Invasive Neurosurg</addtitle><description>Pituitary adenomas are the third most common benign intracranial tumor seen in neurosurgical practice. They represent >or= 15 % of all primary intracranial tumors with 25 % prevalence as reported in autopsy series. Advances in biomedical assays, imaging studies support their diagnosis and tailor their management. The direct endonasal transsphenoidal surgery is the recommended intervention for adenoma resection in more than 95 %. The safety and efficacy of this intervention was enhanced by microsurgery and more recently by the introduction of neuronavigation, assisted endoscopy and intraoperative MRI. Anticipation of clinical, biochemical, radiological and surgical pitfalls by a multidisciplinary team is of paramount importance in improving treatment and preventing potential complications.</description><subject>Adenoma - diagnosis</subject><subject>Adenoma - surgery</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neuronavigation - methods</subject><subject>Neurosurgery</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Sphenoid Sinus - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0946-7211</issn><issn>1439-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpN0MtLxDAQBvAgiq6rR6_Si96ik1fbnEQWX7DiRc8hzUMjbVqbdmH_e7tsQS8zlx8fMx9CFwRuCAhxmzAF4LhkQAs4QAvCmcSUSnKIFiB5jgtKyAk6TekbgHAJxTE6ITkQwaVYoLvXEEOj63qbhbjRKWxcpruub7X5yoY2a3TUn65xcchan3VhGMOg-22mrYtto9MZOvK6Tu583kv08fjwvnrG67enl9X9GhsmygFz523FHfPWVo4LsFJLkVe5Z6SU0gomKPCSFFwWIMCAcN4X3pSlp9SRwrIlut7nTqf9jC4NqgnJuLrW0bVjUnkJVEgqJ4j30PRtSr3zquunB_utIqB2jamkdo2pfWOTv5yDx6px9k_PFU3gagY6GV37XkcT0j8nmdyNX_c1cxU</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>KANAAN, I. 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N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-4efdb4e3fddbe450d9a956b6f31899d535204817497050c05eff7fc88f22e17d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adenoma - diagnosis</topic><topic>Adenoma - surgery</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neuronavigation - methods</topic><topic>Neurosurgery</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Pituitary Neoplasms - surgery</topic><topic>Retrospective Studies</topic><topic>Sphenoid Sinus - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KANAAN, I. N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Minimally invasive neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KANAAN, I. N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimally invasive approach to management of pituitary adenomas</atitle><jtitle>Minimally invasive neurosurgery</jtitle><addtitle>Minim Invasive Neurosurg</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>48</volume><issue>3</issue><spage>169</spage><epage>174</epage><pages>169-174</pages><issn>0946-7211</issn><eissn>1439-2291</eissn><abstract>Pituitary adenomas are the third most common benign intracranial tumor seen in neurosurgical practice. They represent >or= 15 % of all primary intracranial tumors with 25 % prevalence as reported in autopsy series. Advances in biomedical assays, imaging studies support their diagnosis and tailor their management. The direct endonasal transsphenoidal surgery is the recommended intervention for adenoma resection in more than 95 %. 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subjects | Adenoma - diagnosis Adenoma - surgery Adult Biological and medical sciences Child Diagnosis, Differential Female Follow-Up Studies Humans Male Medical sciences Minimally Invasive Surgical Procedures - methods Neuronavigation - methods Neurosurgery Pituitary Neoplasms - diagnosis Pituitary Neoplasms - surgery Retrospective Studies Sphenoid Sinus - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
title | Minimally invasive approach to management of pituitary adenomas |
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