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題 名 | 泌乳激素分泌性腦下垂體腺瘤之治療 |
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作 者 | 邱文達; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 14:4 1981.12[民70.12] |
頁 次 | 頁269-283 |
關鍵詞 | 泌乳激素; 分泌性腦下垂體腺瘤; 治療; |
語 文 | 中文(Chinese) |
中文摘要 | 自1979年6月至1981年5月間共有86名病人因罹患無月經(amenorrhea),乳漏(galactorrhea)及不孕症(infertility)等在門診接受泌乳激素放射性免疫檢查(prolactin radioimmunoassay)。其中30名有泌乳激素增高現象(高於25 ng/ml),並接受顱骨單純攝影,多重斷層攝影(polytomography)及電腦斷層攝影(C-Tscanning)等進一步檢查。14例顯示有不正常的多重斷層攝影(Thorner's criteria, B6以上)或電腦斷層攝影檢查。10名病人的腺瘤直徑約略小於10 mm因此被稱之為泌乳激素分泌性微小腺瘤(prolactin-secreting microadenoma,或簡稱microprolactinoma),另4例則屬泌乳激素分泌性大型腺瘤prolactinsecreting macroadenoma,或簡稱macroprolactinoma),瘤直徑已超過10 mm並有較明顯的蝶鞍都擴大。3例大型腺瘤及1例微小腺瘤接受經蝶竇切除腫瘤顯微手術(transsphenoidal microsurgical removal of tumor)其餘9例做小腺瘤及1例大型腺瘤則接受bromocriptine的治療。除1例大型腺瘤在手術後仍有輕度泌乳激素增高外,其餘不論是手術或,bromocriptine治療都能降低prolactin的濃度至正常範圍,另一例大型腺瘤手術後有泛腦下垂體功能低下(panhypopituitarism),迄今已五個月餘尚未恢復正常月經。2名被診斷為微小腺瘤的病患,經bromocriptine治療一段時間後已先後懷孕。所有接受手術來bromocriptine治療的病例,目前並無一例顯示有惡化的傾向,本報告平均的追蹤時間均為10個月。 |
英文摘要 | Eighty-six women with amenorrhea, galactorrhea and infertility were evaluated during the period from June 1979 to May 1981. Hyperprolactinemia was encountered in 30 cases. All hyperprolactinemia patients underwent hypocycloidal polytomography and computed tomography (C-T scanning). Fourteen cases with abnormal radiologic findings presented suggestive evidence of pituitary adenoma. Ten cases were categorized as microprolactinoma (tumor measuring less than 10 mm), and the other four as macroprolactinoma. Transsphenoidal microsurgical removal of the tumor was carried out in 3 cases of macroprolactinoma and 1 case of microprolactinoma. The remaining 9 cases of microprolactinoma and 1 case of macroprolactinoma were treated with bromocriptine. Both surgery and bromocriptine therapy lowered the prolactin values except in one case of macroprolactinoma that showed slight hyperprolactinernia postoperatively. Twelve patients had a return of menses and/or resolution of galactorrhea. One case of macroprolactinoma developed panhypopituitarism postoperatively and did not have menstrual restoration. Two patients became pregnant after bromocriptine therapy. None of our cases showed tumorprogression during the follow-up period, which averaged 10 months. |
本系統中英文摘要資訊取自各篇刊載內容。