Pituitary adenomas - my personal experience

Introduction: The pituitary gland is also called the master gland of the body and its tumours represent 10- 15% of all intracranial tumors, with an annual incidence of 0.2-2.8 cases per 100,000 persons.Most are benign adenomas arising from the anterior pituitary (adenohypophysis), and most commonly...

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Main Authors: R Jha, GR Sharma, P Bista
Format: Article
Language:English
Published: Society of Surgeons of Nepal 2016-07-01
Series:Journal of Society of Surgeons of Nepal
Online Access:https://www.nepjol.info/index.php/JSSN/article/view/15295
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author R Jha
GR Sharma
P Bista
author_facet R Jha
GR Sharma
P Bista
author_sort R Jha
collection DOAJ
description Introduction: The pituitary gland is also called the master gland of the body and its tumours represent 10- 15% of all intracranial tumors, with an annual incidence of 0.2-2.8 cases per 100,000 persons.Most are benign adenomas arising from the anterior pituitary (adenohypophysis), and most commonly present due to hormonal effects(includes hyperprolactinomia,Cushings Syndrome, acromegaly..),mass effect, as an incidental finding or infrequently with pituitary apoplexy. Objective: To describe the features of the patients with pituitary adenoma, different surgical approaches, and its outcome. Methodology: This is a prospective study of data of all patients operated from 2013 to 2015(3 years).The demographic factors of age, sex is studied along with the the size of adenoma, clinical symptoms before and after surgery, type of surgery, complications and final outcome. Result: The total number of cases was 18, with predominantly males (10 cases) than females (8 cases).The most common mode of presentation was with headache in 7 cases (39%), followed by visual changes in 6(33%). Hormonal changes was found in 10(56%) with pituitary apoplexy in 4 cases (22%). Tumour resection was complete in 92% of the cases and subtotal in the rest. There were no mortalities. Conclusion: Sublabial transphenoidal surgery is a effictive technique with low procedure related morbidity.
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spelling doaj.art-3bda39096d1e4d2cb20f5a8b3e2544ca2022-12-21T21:10:23ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722016-07-0118310.3126/jssn.v18i3.15295Pituitary adenomas - my personal experienceR JhaGR SharmaP BistaIntroduction: The pituitary gland is also called the master gland of the body and its tumours represent 10- 15% of all intracranial tumors, with an annual incidence of 0.2-2.8 cases per 100,000 persons.Most are benign adenomas arising from the anterior pituitary (adenohypophysis), and most commonly present due to hormonal effects(includes hyperprolactinomia,Cushings Syndrome, acromegaly..),mass effect, as an incidental finding or infrequently with pituitary apoplexy. Objective: To describe the features of the patients with pituitary adenoma, different surgical approaches, and its outcome. Methodology: This is a prospective study of data of all patients operated from 2013 to 2015(3 years).The demographic factors of age, sex is studied along with the the size of adenoma, clinical symptoms before and after surgery, type of surgery, complications and final outcome. Result: The total number of cases was 18, with predominantly males (10 cases) than females (8 cases).The most common mode of presentation was with headache in 7 cases (39%), followed by visual changes in 6(33%). Hormonal changes was found in 10(56%) with pituitary apoplexy in 4 cases (22%). Tumour resection was complete in 92% of the cases and subtotal in the rest. There were no mortalities. Conclusion: Sublabial transphenoidal surgery is a effictive technique with low procedure related morbidity.https://www.nepjol.info/index.php/JSSN/article/view/15295
spellingShingle R Jha
GR Sharma
P Bista
Pituitary adenomas - my personal experience
Journal of Society of Surgeons of Nepal
title Pituitary adenomas - my personal experience
title_full Pituitary adenomas - my personal experience
title_fullStr Pituitary adenomas - my personal experience
title_full_unstemmed Pituitary adenomas - my personal experience
title_short Pituitary adenomas - my personal experience
title_sort pituitary adenomas my personal experience
url https://www.nepjol.info/index.php/JSSN/article/view/15295
work_keys_str_mv AT rjha pituitaryadenomasmypersonalexperience
AT grsharma pituitaryadenomasmypersonalexperience
AT pbista pituitaryadenomasmypersonalexperience