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Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function
http://hdl.handle.net/2237/00031024
http://hdl.handle.net/2237/00031024cc56199f-b23a-45da-9d3b-1e54195c9b7f
名前 / ファイル | ライセンス | アクション |
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Manuscript (194.1 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-12-20 | |||||
タイトル | ||||||
タイトル | Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function | |||||
言語 | en | |||||
著者 |
Nagata, Yuichi
× Nagata, Yuichi× Takeuchi, Kazuhito× Yamamoto, Taiki× Ishikawa, Takayuki× Kawabata, Teppei× Shimoyama, Yoshie× Inoshita, Naoko× Wakabayashi, Toshihiko |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | “This is a post-peer-review, pre-copyedit version of an article published in [Pituitary]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11102-019-00980-w”. | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pituitary resection | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Transsphenoidal surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pseudocapsule | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pituitary adenoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Acromegaly | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cushing disease | |||||
抄録 | ||||||
内容記述 | Purpose: Functional pituitary adenomas (FPAs) lacking a well-defined pseudocapsule can invade the adjacent pituitary gland. In such situations, peel-off resection of the adjacent pituitary gland after selective adenomectomy might lead to complete tumor removal, resulting in optimal endocrinological outcomes. Here, we present the significance of peel-off resection of the pituitary gland in patients with FPA in whom complete extracapsular tumor removal cannot be achieved. Methods: We performed a retrospective review of 21 patients with FPA who underwent transsphenoidal surgery (TSS). After selective adenomectomy, peel-off resection of the adjacent pituitary gland was performed in 13 patients because complete extracapsular resection could not be achieved, while peel-off resection was not performed in the remaining 8 patients because complete extracapsular resection was accomplished. The clinical outcomes of these groups were compared. The pituitary tissues obtained by peel-off resection were pathologically examined for tumor cells. Results: Early postoperative biochemical remission was achieved in 20 patients (95.2%). Anterior pituitary functions were not aggravated postoperatively in any patient: however, transient diabetes insipidus (DI) occurred in 2 patients. There were no statistically significant differences in the clinical outcomes of the two groups. A pseudocapsule was pathologically detected in the adjacent anterior pituitary even in patients in whom no pseudocapsule was intraoperatively detected. Tumor cells were pathologically detected in 7 (58.3%) of 12 pituitary tissues examined. Conclusions: Peel-off resection of the pituitary gland, which can remove a small tumor cell remnant in the adjacent pituitary, might maximize the effectiveness of TSS with minimal impact on postoperative pituitary function. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2020/10/01 | |||||
言語 | ja | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Springer | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s11102-019-00980-w | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1386-341X | |||||
書誌情報 |
en : Pituitary 巻 22, 号 5, p. 507-513, 発行日 2019-10 |
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著者版フラグ | ||||||
値 | author |