Radioterapia em tumores hipofisários.

The aim of this study is to evaluate the use of conventional external radiotherapy in patients with pituitary adenomas. Between October 1970 and May 1998, 27 patients with pituitary adenoma were followed at the Department of Endocrinology and Diabetes of the Hospitais da Universidade de Coimbra. The...

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Main Authors: Carla Baptista, Isabel Paiva, Leonor Gomes, Fernando Gomes, Manuela Carvalheiro, M M Almeida Ruas
Format: Article
Language:English
Published: Ordem dos Médicos 2002-06-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1929
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author Carla Baptista
Isabel Paiva
Leonor Gomes
Fernando Gomes
Manuela Carvalheiro
M M Almeida Ruas
author_facet Carla Baptista
Isabel Paiva
Leonor Gomes
Fernando Gomes
Manuela Carvalheiro
M M Almeida Ruas
author_sort Carla Baptista
collection DOAJ
description The aim of this study is to evaluate the use of conventional external radiotherapy in patients with pituitary adenomas. Between October 1970 and May 1998, 27 patients with pituitary adenoma were followed at the Department of Endocrinology and Diabetes of the Hospitais da Universidade de Coimbra. They received radiation therapy at Instituto Português de Oncologia. Seven of those tumors were classified as nonfunctioning adenomas, 17 as growth-hormone-secreting adenomas, 2 as prolactinomas and 1 as adrenocorticotropic adenoma. Twenty-six patients received radiation as adjuvant therapy after incomplete resection and one patient as primary treatment. The majority of these cases were treated using the parallel opposed-field technique with a total dose between 45 and 52 Gy. The patients were submitted, before and after radiotherapy, to a protocol in order to assess the efficacy of this treatment. Some of the results were analyzed. Reduction of tumor mass was achieved in 66.6% of nonfunctioning tumors and in 25% of the secreting ones. Reduction or stabilization of hormonal levels was achieved in 55% of the cases and normalization in 30%. The average duration of follow-up was 126.3 months. Complications observed: hypopituitarism, stroke (3 patients), cerebral edema (1 patient), memory loss (2 patients) and hearing loss (2 patients). None of the patients developed brain tumors.
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spelling doaj.art-57ab85da090d49f0b70ac6a97ed1c75f2022-12-22T03:30:36ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582002-06-0115310.20344/amp.1929Radioterapia em tumores hipofisários.Carla Baptista0Isabel PaivaLeonor GomesFernando GomesManuela CarvalheiroM M Almeida RuasServiço Endocrinologia, Diabetes e Metabolismo, Hospitais da Universidade de Coimbra, Coimbra.The aim of this study is to evaluate the use of conventional external radiotherapy in patients with pituitary adenomas. Between October 1970 and May 1998, 27 patients with pituitary adenoma were followed at the Department of Endocrinology and Diabetes of the Hospitais da Universidade de Coimbra. They received radiation therapy at Instituto Português de Oncologia. Seven of those tumors were classified as nonfunctioning adenomas, 17 as growth-hormone-secreting adenomas, 2 as prolactinomas and 1 as adrenocorticotropic adenoma. Twenty-six patients received radiation as adjuvant therapy after incomplete resection and one patient as primary treatment. The majority of these cases were treated using the parallel opposed-field technique with a total dose between 45 and 52 Gy. The patients were submitted, before and after radiotherapy, to a protocol in order to assess the efficacy of this treatment. Some of the results were analyzed. Reduction of tumor mass was achieved in 66.6% of nonfunctioning tumors and in 25% of the secreting ones. Reduction or stabilization of hormonal levels was achieved in 55% of the cases and normalization in 30%. The average duration of follow-up was 126.3 months. Complications observed: hypopituitarism, stroke (3 patients), cerebral edema (1 patient), memory loss (2 patients) and hearing loss (2 patients). None of the patients developed brain tumors.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1929
spellingShingle Carla Baptista
Isabel Paiva
Leonor Gomes
Fernando Gomes
Manuela Carvalheiro
M M Almeida Ruas
Radioterapia em tumores hipofisários.
Acta Médica Portuguesa
title Radioterapia em tumores hipofisários.
title_full Radioterapia em tumores hipofisários.
title_fullStr Radioterapia em tumores hipofisários.
title_full_unstemmed Radioterapia em tumores hipofisários.
title_short Radioterapia em tumores hipofisários.
title_sort radioterapia em tumores hipofisarios
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1929
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AT isabelpaiva radioterapiaemtumoreshipofisarios
AT leonorgomes radioterapiaemtumoreshipofisarios
AT fernandogomes radioterapiaemtumoreshipofisarios
AT manuelacarvalheiro radioterapiaemtumoreshipofisarios
AT mmalmeidaruas radioterapiaemtumoreshipofisarios