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相關文獻
- Pituitary Adenomas in the Old-aged
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頁籤選單縮合
題 名 | Pituitary Adenomas in the Old-aged=老年人的腦垂腺瘤 |
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作 者 | 張志任; 王致仁; 黃旭霖; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:1 1998.01[民87.01] |
頁 次 | 頁1-5 |
分類號 | 417.8271 |
關鍵詞 | 老年人; 腦垂腺瘤; Pitultary adenoma; Old-aged; Ultrastructure; |
語 文 | 英文(English) |
中文摘要 | 隨著醫學科技日新月異,藉由影像學的檢查老年人的腦垂腺瘤發現率已愈來愈多。因為正常人的腦垂腺於60歲以後便呈現退化狀況,在這種狀態下,產生的腫瘤和處於青春期的年青人,尤其是腦垂腺功能旺盛的人,產生的腫瘤,兩者是截然不同的。從臨床上來比較,老年人常因為腫瘤的腫塊效應而引起視力的問題,同時併發視器官的退化;故常常是由眼科醫師轉介而來;另一方面,因為已停經,故比較少是因為月經的問題而尋求醫療資料。年青的病人則不同,常是月經不來、無月經、不孕而來求診。在免疫酵素染色上,無功能性腫瘤為老年人最常見腦垂腺瘤,其次為泌乳激素瘤。這和年青的病人是不同的。在顯微構造方面,老年人的腫瘤細胞顯得比較膨脹;分泌顆粒則大致上比較大,這是否是細胞空腔較多而腺體功能較差所致,而不可知。但大致來說,年青的病人若已呈現無月經或無第二性徵,術後需追加放射治療。且復發率高。 |
英文摘要 | From 1986 to 1996, 187 patients with pituitary adenoma were diagnosed and received surgery at Kaohsiung Medical College Hospital. Of which, 29 patients older than 60 years were retrospectively studied. Their initial clinical symptoms, pathological findings, immunoperoxidase staining, electronic microscopic findings and hormone levels were retrospectively recorded. We found that the old patients more often suffered from the neurological deficit such as headache and visual problems rather than endocrine of the tumors cells are compared, and fewer cells and nuclei are found in the older group than that in the younger group. The secretary granules in functioning tumors especially prolactinomas in old-aged patients are larger than those in the young patients. The tumor cells in the old-aged patients have fewer subcellular organelles and secretary granules but have large secretary granules. It is concluded that: (1) transsphenoidal surgery is feasible and safe in this age group; (2) plurihormonal tumors occur more frequently in old-age than young patients; (3) clinically endocrine-inactive paituitary adenomas occur more often in old-aged; (4) pituitary adenomas In old-aged cause neurological deficit more frequently than endocrine disturbance. |
本系統中英文摘要資訊取自各篇刊載內容。