Cargando…

The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review

Giant pituitary adenomas (GPAs) are defined as pituitary lesions larger than 40 mm of diameter. Surgical resection remains the gold standard to decompress the optic apparatus, reduce lesion load, and preserve hormonal function. The endoscopic endonasal approach (EEA) has been increasingly used for t...

Descripción completa

Detalles Bibliográficos
Autores principales: Chibbaro, Salvatore, Ganau, Mario, Gubian, Arthur, Scibilia, Antonino, Todeschi, Julien, Riehm, Sophie, Moliere, Sebastien, Debry, Christian, Goichot, Bernard, Proust, Francois, Cebula, Helene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159024/
https://www.ncbi.nlm.nih.gov/pubmed/30283575
http://dx.doi.org/10.4103/ajns.AJNS_97_18
_version_ 1783358541108609024
author Chibbaro, Salvatore
Ganau, Mario
Gubian, Arthur
Scibilia, Antonino
Todeschi, Julien
Riehm, Sophie
Moliere, Sebastien
Debry, Christian
Goichot, Bernard
Proust, Francois
Cebula, Helene
author_facet Chibbaro, Salvatore
Ganau, Mario
Gubian, Arthur
Scibilia, Antonino
Todeschi, Julien
Riehm, Sophie
Moliere, Sebastien
Debry, Christian
Goichot, Bernard
Proust, Francois
Cebula, Helene
author_sort Chibbaro, Salvatore
collection PubMed
description Giant pituitary adenomas (GPAs) are defined as pituitary lesions larger than 40 mm of diameter. Surgical resection remains the gold standard to decompress the optic apparatus, reduce lesion load, and preserve hormonal function. The endoscopic endonasal approach (EEA) has been increasingly used for the treatment of pituitary adenomas and skull base tumors due to the wide angle of view and exposure. Through the description of an exemplificative case of EEA resection of a nonsecreting GPA in the setting of a multimodal treatment, the authors discuss the advantages and disadvantages of this management strategy and provide a detailed review of the literature.
format Online
Article
Text
id pubmed-6159024
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-61590242018-10-03 The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review Chibbaro, Salvatore Ganau, Mario Gubian, Arthur Scibilia, Antonino Todeschi, Julien Riehm, Sophie Moliere, Sebastien Debry, Christian Goichot, Bernard Proust, Francois Cebula, Helene Asian J Neurosurg Case Report Giant pituitary adenomas (GPAs) are defined as pituitary lesions larger than 40 mm of diameter. Surgical resection remains the gold standard to decompress the optic apparatus, reduce lesion load, and preserve hormonal function. The endoscopic endonasal approach (EEA) has been increasingly used for the treatment of pituitary adenomas and skull base tumors due to the wide angle of view and exposure. Through the description of an exemplificative case of EEA resection of a nonsecreting GPA in the setting of a multimodal treatment, the authors discuss the advantages and disadvantages of this management strategy and provide a detailed review of the literature. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6159024/ /pubmed/30283575 http://dx.doi.org/10.4103/ajns.AJNS_97_18 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Chibbaro, Salvatore
Ganau, Mario
Gubian, Arthur
Scibilia, Antonino
Todeschi, Julien
Riehm, Sophie
Moliere, Sebastien
Debry, Christian
Goichot, Bernard
Proust, Francois
Cebula, Helene
The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title_full The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title_fullStr The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title_full_unstemmed The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title_short The Role of Endoscopic Endonasal Approach in the Multimodal Management of Giant Pituitary Adenoma: Case Report and Literature Review
title_sort role of endoscopic endonasal approach in the multimodal management of giant pituitary adenoma: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159024/
https://www.ncbi.nlm.nih.gov/pubmed/30283575
http://dx.doi.org/10.4103/ajns.AJNS_97_18
work_keys_str_mv AT chibbarosalvatore theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT ganaumario theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT gubianarthur theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT scibiliaantonino theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT todeschijulien theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT riehmsophie theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT molieresebastien theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT debrychristian theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT goichotbernard theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT proustfrancois theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT cebulahelene theroleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT chibbarosalvatore roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT ganaumario roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT gubianarthur roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT scibiliaantonino roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT todeschijulien roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT riehmsophie roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT molieresebastien roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT debrychristian roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT goichotbernard roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT proustfrancois roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview
AT cebulahelene roleofendoscopicendonasalapproachinthemultimodalmanagementofgiantpituitaryadenomacasereportandliteraturereview