Endoscopic transnasal approach for removing pituitary tumors

To describe a series of 129 consecutive patients submitted to the resection of pituitary tumors using the endoscopic transsphenoidal approach in a public medical center. Method: Retrospective analysis based on the records of patients submitted to the resection of a pituitary tumor through the endos...

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Main Authors: Mirian Cabral Moreira de Castro, Luciane Maria Pereira Michel, Mariana Moreira de Castro Denaro, Pollyana Anício Magalhaes Gontijo, Atos Alves de Sousa
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-05-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500378&lng=en&tlng=en
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author Mirian Cabral Moreira de Castro
Luciane Maria Pereira Michel
Mariana Moreira de Castro Denaro
Pollyana Anício Magalhaes Gontijo
Atos Alves de Sousa
author_facet Mirian Cabral Moreira de Castro
Luciane Maria Pereira Michel
Mariana Moreira de Castro Denaro
Pollyana Anício Magalhaes Gontijo
Atos Alves de Sousa
author_sort Mirian Cabral Moreira de Castro
collection DOAJ
description To describe a series of 129 consecutive patients submitted to the resection of pituitary tumors using the endoscopic transsphenoidal approach in a public medical center. Method: Retrospective analysis based on the records of patients submitted to the resection of a pituitary tumor through the endoscopic transsphenoidal approach between 2004 and 2009. Results: One hundred and twenty-nine records were analyzed. The tumor was non-secreting in 96 (74.42%) and secreting in 33 patients (22.58%). Out of the secretory tumors, the most prevalent was the growth hormone producer (7.65%), followed by the prolactinoma, (6.98%). Eleven patients developed cerebral spinal fluid (CSF) fistulas, and four of them developed meningitis. One patient died due to intracerebral hemorrhage in the postoperative period. Conclusion: The endoscopic transsphenoidal approach to sellar tumors proved to be safe when the majority of the tumors were non-secreting. The most frequent complication was CSF. This technique can be done even in a public hospital with financial limits, since the health professionals are integrated.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-0c23e75da7cc4433b06455fa475348e72025-08-20T03:17:13ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-05-0172537838210.1590/0004-282X20140023S0004-282X2014000500378Endoscopic transnasal approach for removing pituitary tumorsMirian Cabral Moreira de CastroLuciane Maria Pereira MichelMariana Moreira de Castro DenaroPollyana Anício Magalhaes GontijoAtos Alves de SousaTo describe a series of 129 consecutive patients submitted to the resection of pituitary tumors using the endoscopic transsphenoidal approach in a public medical center. Method: Retrospective analysis based on the records of patients submitted to the resection of a pituitary tumor through the endoscopic transsphenoidal approach between 2004 and 2009. Results: One hundred and twenty-nine records were analyzed. The tumor was non-secreting in 96 (74.42%) and secreting in 33 patients (22.58%). Out of the secretory tumors, the most prevalent was the growth hormone producer (7.65%), followed by the prolactinoma, (6.98%). Eleven patients developed cerebral spinal fluid (CSF) fistulas, and four of them developed meningitis. One patient died due to intracerebral hemorrhage in the postoperative period. Conclusion: The endoscopic transsphenoidal approach to sellar tumors proved to be safe when the majority of the tumors were non-secreting. The most frequent complication was CSF. This technique can be done even in a public hospital with financial limits, since the health professionals are integrated.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500378&lng=en&tlng=enneoplasias hipofisáriaslíquido cefalorraquidianofistulaseio esfenoidal
spellingShingle Mirian Cabral Moreira de Castro
Luciane Maria Pereira Michel
Mariana Moreira de Castro Denaro
Pollyana Anício Magalhaes Gontijo
Atos Alves de Sousa
Endoscopic transnasal approach for removing pituitary tumors
Arquivos de Neuro-Psiquiatria
neoplasias hipofisárias
líquido cefalorraquidiano
fistula
seio esfenoidal
title Endoscopic transnasal approach for removing pituitary tumors
title_full Endoscopic transnasal approach for removing pituitary tumors
title_fullStr Endoscopic transnasal approach for removing pituitary tumors
title_full_unstemmed Endoscopic transnasal approach for removing pituitary tumors
title_short Endoscopic transnasal approach for removing pituitary tumors
title_sort endoscopic transnasal approach for removing pituitary tumors
topic neoplasias hipofisárias
líquido cefalorraquidiano
fistula
seio esfenoidal
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000500378&lng=en&tlng=en
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AT lucianemariapereiramichel endoscopictransnasalapproachforremovingpituitarytumors
AT marianamoreiradecastrodenaro endoscopictransnasalapproachforremovingpituitarytumors
AT pollyanaaniciomagalhaesgontijo endoscopictransnasalapproachforremovingpituitarytumors
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