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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

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/2237/00031024
cc56199f-b23a-45da-9d3b-1e54195c9b7f
名前 / ファイル ライセンス アクション
Manuscript.pdf Manuscript (194.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 94903

en Nagata, Yuichi

Search repository
Takeuchi, Kazuhito

× Takeuchi, Kazuhito

WEKO 94904

en Takeuchi, Kazuhito

Search repository
Yamamoto, Taiki

× Yamamoto, Taiki

WEKO 94905

en Yamamoto, Taiki

Search repository
Ishikawa, Takayuki

× Ishikawa, Takayuki

WEKO 94906

en Ishikawa, Takayuki

Search repository
Kawabata, Teppei

× Kawabata, Teppei

WEKO 94907

en Kawabata, Teppei

Search repository
Shimoyama, Yoshie

× Shimoyama, Yoshie

WEKO 94908

en Shimoyama, Yoshie

Search repository
Inoshita, Naoko

× Inoshita, Naoko

WEKO 94909

en Inoshita, Naoko

Search repository
Wakabayashi, Toshihiko

× Wakabayashi, Toshihiko

WEKO 94910

en Wakabayashi, Toshihiko

Search repository
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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