Multidisciplinary protocol of preoperative and surgical management of patients with pituitary tumors candidates to pituitary surgery - 07/02/21
Protocole multidisciplinaire de prise en charge préopératoire et chirurgicale des patients atteints de tumeurs hypophysaires candidats à la chirurgie hypophysaire
Abstract |
The optimal planning of preoperative diagnosis, management and treatment of pituitary tumors (PT) candidates to pituitary surgery (PS) requires a multidisciplinary approach involving a team of endocrinologists, neurosurgeons, ENT, neuro-ophthalmologists and neuroradiologists with experience in pituitary diseases. Such teams improve surgical results, minimize complications and facilitate their correct treatment if occurring, and optimize the hormonal, ophthalmological and radiological preoperative and follow-up evaluation. We have developed a clinical practice protocol for patients with PT who are candidates to PS based on the most recent national and international guidelines and the relevant literature regarding PT published in the last years. The protocol has been elaborated by a multidisciplinary team of a Spanish Pituitary Tumor Center of Excellence (PTCE) that includes at least one neurosurgeon, ENT, neuroradiologist, neuro-ophthalmologist, endocrine pathologist and endocrinologist specialized in pituitary diseases. We elaborated this guideline with the aim of sharing our experience with other centers involved in the perioperative and surgical management of PT thereby facilitating the management of patients undergoing PS.
Le texte complet de cet article est disponible en PDF.Keywords : Pituitary tumors, Pituitary surgery, Adrenal insufficiency, Glucocorticoid, Hypopituitarism
Plan
Vol 82 - N° 1
P. 20-29 - février 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.