Popis: |
Background: Recent evidence has highlighted the importance of the neurosurgeon in the management of secretory pituitary tumours, but most reports are from major centres. Aims: To audit the surgical outcome of patients with acromegaly and Cushing’s disease treated in a small centre (Christchurch, New Zealand) by a dedicated neurosurgeon with an interest in pituitary disease, and follow-up through an outpatient Department of Endocrinology. Methods: All cases of acromegaly and Cushing’s disease admitted for surgery in Christchurch Hospital between 1984 and 2000 were audited. Data concerning preoperative findings, surgical remission rate, complications and follow-up were obtained from 44 patients (28 acromegaly, 16 Cushing’s disease). Results: Of the 28 acromegalic patients, 14 patients (50%) had a mean growth hormone level |