Hla461 发表于 2025-3-25 04:26:19
0065-1419 is a timely and eagerly awaited publication because of the increasing interest of the endocrinologist in pituitary disorders and of the neuro surgeon in the newest aspects of surgery on pituitary tumors, and also because of the unsatisfactory but still widely accepted classification into eosinophildeciduous 发表于 2025-3-25 10:13:43
http://reply.papertrans.cn/95/9407/940656/940656_22.pngopinionated 发表于 2025-3-25 13:29:48
Pituitary Adenomas Associated with Signs of Endocrine Activity,l X-ray therapy in acromegaly, every acromegalic patient was operated upon. On the other hand, some patients with pituitary adenoma but lacking signs of endocrine hyperfunction have been treated successfully with radiotherapy alone. Svien and Colby (1967) as well as others have found this to be the case.CUMB 发表于 2025-3-25 17:11:22
Introduction,ns for pituitary adenomas performed by Horsley in 1889 (Horsley, 1906), who used the transfrontal and transtemporal approaches and by Schloffer in 1907, who performed the first transnasal intervention. The challenge has been manyfold. For the surgeon it was mainly the formidable localization of the结构 发表于 2025-3-25 22:06:14
Material and Methods,rs have been operated on in the Department of Neurological Surgery of the Kantonsspital Zürich in almost equal numbers by Prof. H. Krayenbühl, Prof. M. G. Yagargil, and the author in the years 1971 through 1973; a few also were operated on in the years 1969, 1970 and 1974. The exact type of the specNeonatal 发表于 2025-3-26 01:10:04
Ultrastructure of the Normal Pituitary,basophilic), and chromophobe elements. The system of three cell types was used with minor modifications until Romeis (1940) published his fundamental study concerning the histology of the pituitary gland. He counted five different granulated, one undifferentiated, and one vacuolated, exhausted cellMinatory 发表于 2025-3-26 07:02:22
Pituitary Adenomas Associated with Signs of Endocrine Activity,is found in 29 out of 89 (= 32%) pituitary adenomas in our series. This proportion is approached only by the series of Cushing (1912, 1933) and Tönnis (1953) who reported 28% acromegalic patients. No other series has shown a higher percentage: Bailey (1932), 25%; Grant (1948), 14%; Kernohan and Sayrflammable 发表于 2025-3-26 08:29:00
,Pituitary Adenomas without Signs of Endocrine Activity: The So-called “Chromophobe Adenomas”,tarism and signs of compression of the visual pathways. Different patient series show a wide range in the frequency of the various symptoms. Vision is affected in 57–98%, menstrual disturbances occur in 17–85%, impotency and loss of libido are reported in 39–73%, the basal metabolism is decreased in刀锋 发表于 2025-3-26 14:24:33
Malignant Pituitary Tumors,ression of the normal pituitary gland or nearby neuronal structures—particularly the optic chiasm and optic nerves. Expansive growth can give rise to extremely large tumors that compress the third ventricle or erode the sphenoid bone. There is a minority of tumors with locally invasive growth extendAlbumin 发表于 2025-3-26 17:00:49
Craniopharyngiomas,ors (Svolos, 1969: 1.94%; Zülch, 1956: 2.7%; Russell and Rubinstein, 1971: 3%). Our own series contains 92 pituitary adenomas and 16 craniopharyngiomas (17%) whose ultrastructure has been examined. The youngest patient was 3; the oldest 55 years old. Eight patients were in the first decade of life,