垂体偶发瘤的研究进展progressinpituitary-现代生物医学进展.pdfVIP

4988 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.12 NO.25 SEP.2012 垂体偶发瘤的研究进展 1 2△ 王 海 丁永忠 1 730000 2 730000 （兰州大学第二临床医学院 甘肃兰州 ；兰州大学第二医院神经外科 甘肃兰州 ） Pituitary Incidentalomas 摘要：垂体偶发瘤（ ）是指因进行尸检或进行与垂体病变无关的头部影像学检查过程中偶然发现的垂体病 变，其特点是不具有与垂体疾病相关的临床表现。其尸检发现率约10.7 %，影像学检查发现率低于尸检，不同文献报道差异较大。 10 % 24 % , 垂体偶发瘤如不进行治疗， 的偶发微腺瘤和 的偶发大腺瘤会出现瘤体增大瘤体增大是明确的手术指征。因此，患者应 定期进行头部MRI 扫描以明确瘤体有无增大。本文对垂体偶发瘤的相关文献进行回顾分析。 关键词：垂体腺瘤；偶发瘤；经蝶手术；肿瘤 R739.4 A 1673-6273 2012 25-4988-04 中图分类号： 文献标识码： 文章编号： （ ） Progress in Pituitary Incidentalomas 1 2△ WANG Hai , DING Yong -zhong ( 1 Second Clinical Medical College of Lanzhou University, Lanzhou,Gansu, 730000, China; 2 Dep artment of Neurosurgery, Second Hosp ital of Lanzhou University, Lanzhou, Gansu, 730000, China) ABSTRACT: Pituitary incidentalomas are almost completely asymptomatic, and therefore usually being detected either at autopsy or as incidental findings on head MRI (or CT) scans performed for other reasons having nothing to do with pituitary gland. The rate about finding pituitary incidentalomas in autopsy is about 10.7%, higher than it in imageology. 10 % of microadenomas and 24 % of macroade- nomas will be enlarged if patients with pituitary incidentalomas can not get treatments. Therefore, MRI scans should be performed on these patients to make sure whether there is an enlargement about the tumor which is an