Biological and radiological exploration and management of non-functioning pituitary adenoma
| Autor: | J F Bonneville, Muriel Cogne, Guillaume Assié, Gérald Raverot, François Cotton, Catherine Massart, Michèle d’Herbomez, Anne Boulin |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adenoma
Pituitary gonadotroph tumor Pituitary incidentaloma medicine.medical_specialty Pathology Consensus Incidentalome hypophysaire Endocrinology Diabetes and Metabolism Functioning Pituitary Adenoma Optic chiasm 030209 endocrinology & metabolism Asymptomatic Adénome hypophysaire non fonctionnel 03 medical and health sciences 0302 clinical medicine Endocrinology Pituitary adenoma Humans Medicine Pituitary Neoplasms Silent pituitary adenoma business.industry Adénomes hypophysaire gonadotrope General Medicine Radiological examination medicine.disease 3. Good health Radiography Pituitary Hormones medicine.anatomical_structure Non-functioning pituitary adenoma Pituitary insufficiency Insuffisance antehypophysaire 030220 oncology & carcinogenesis Radiological weapon Adénome hypophysaire silencieux Radiology Pituitary dysfunction medicine.symptom business Gonadotropins |
| Zdroj: | Annales d'Endocrinologie. 76(3):201-209 |
| ISSN: | 0003-4266 |
| DOI: | 10.1016/j.ando.2015.04.005 |
| Popis: | Non-functioning pituitary adenoma may be totally asymptomatic and discovered “incidentally” during radiological examination for some other indication, or else induce tumoral signs with compression of the optic chiasm and pituitary dysfunction. Non-functioning adenomas are mainly gonadotroph, but may also be “silent”. Treatment strategy depends on initial clinical, biological, ophthalmological and radiological findings. The present French Society of Endocrinology Consensus work-group sought to update the pitfalls associated with hormone assay and outline a hormonal exploration strategy for diagnosis and follow-up, without overlooking the particularities of silent adenoma. We also drew up basic rules for initial exploration and radiological follow-up of both operated and non-operated pituitary adenomas. |
| Databáze: | OpenAIRE |
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