Nonfonksiyonel Hipofiz Adenomlarının Cerrahi Endikasyonları ve Yönetimi

Yıl 2018, Cilt: 10 Sayı: 1, 19 - 22, 30.01.2018

Bilgehan Solmaz

Öz

Aktif hormon sekresyonu yapmayan hipofiz tümörleri nonfonksiyonel adenom olarak

adlandırılmaktadır. Tüm hipofiz adenomları içerisindeki oranları %30-35’dir. Bunların

ekseriside (%80-90) gonodotropik adenomlar tarafından oluşturulmaktadır. Hastalar

genellikle nörolojik semptomlar ya da hipofizer yetmezlik şeklinde klinik gösterirler.

Nonfonksyonel adenomu bulunan hastaların tedavisindeki amaçlar; nörolojik semptomların

düzeltilmesi, nükse müsaade etmeyecek şekilde mümkünse makroadenom dokusunun

tamamen çıkartılması ve normal hipofiz dokusunun basısı sonucu gelişen hormonal

yetmezliğin yönetimidir.

Anahtar Kelimeler

Hipofiz adenomu, nonfonksiyonel, yönetim, cerrahi

Kaynakça

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