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The Ewha Medical Journal
Ewha Womans University School of Medicine

Ewha Med J 1990; 13(4):399-407

pISSN: 1598-7450

DOI: https://doi.org/10.12771/emj.1990.13.4.399

Original Article

Study of the Surgical Management of Pituitary Adenoma

Kyu Man Shin

Copyright ⓒ 1990. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

The author has reviewed the results of microsurgical management in 56 patients with pituitary adenoma, In a series of 56 pituitary adenomas, 10(18%) were nonsecreting and 46(82%) produced hypersecretion syndrome : prolaction(34), human growth hormone(6), mixed prolactin and growth hormone(1), adrenocortcotropic hormone(5). The number of microadenomas were 6 cases. In the aspects of operative procedures the trans-sphenoidal procedure approach were given in 38(69%) cases and the transcranial approach in 18(31%) cases. In anatomic(radiographic and operative) classification, non-surprasella extension(5), occupies surprasellar cistern(27%), recesses of third ventricle obliterated(11), third ventricle grossly displaced(7) and parasellar extension(5) were observed. The overall morbidity and mortality were 3.6% and 10.7% respecterely.