假性垂体瘤英文及病例ppt课件

上传人:壹****1 文档编号:580156280 上传时间:2024-08-28 格式:PPT 页数:18 大小:1.28MB
返回 下载 相关 举报
假性垂体瘤英文及病例ppt课件_第1页
第1页 / 共18页
假性垂体瘤英文及病例ppt课件_第2页
第2页 / 共18页
假性垂体瘤英文及病例ppt课件_第3页
第3页 / 共18页
假性垂体瘤英文及病例ppt课件_第4页
第4页 / 共18页
假性垂体瘤英文及病例ppt课件_第5页
第5页 / 共18页
点击查看更多>>
资源描述

《假性垂体瘤英文及病例ppt课件》由会员分享,可在线阅读,更多相关《假性垂体瘤英文及病例ppt课件(18页珍藏版)》请在金锄头文库上搜索。

1、English Case reportEnglish Case reportDiagnosis and Therapy of Pituitary pseudotumor (pituitary thyrotroph hyperplasia) Neurosurgery Department English Case reportEnglish Case reportNowadays more and more lesions in saddle area are found by CT and MRI especially pituitary adenoma.Do you think all le

2、sions in saddle area can be diagnosised pituitary adenoma?English Case reportEnglish Case reportMany patients diagnosised pituitary adenoma preoperation was demonstrated to be hyperplasia or Pituitary pseudotumor ,but not tumor.So, what led us to the misdiagnosis? English Case reportEnglish Case rep

3、ortWhat is so-called “Pituitary pseudotumor or “ pituitary hyperplasia?English Case reportEnglish Case reportPituitary glandPituitary glandPituitary glandThyriod gland, suprarenal gland, ovarianThyriod gland, suprarenal gland, ovarianThyriod gland, suprarenal gland, ovarianhypothalamusThe axis of ho

4、rmone control in our bodyControl functionReverse feedbackEnglish Case reportEnglish Case reportThat is to say “the shape and function of pituitary is controlled by hypothalamus and feedback-affected by target organs such as Thyriod gland suprarenal gland ovarianEnglish Case reportEnglish Case report

5、The way that made these control goes is based on the hormone, such as TSH, ACTH, PRL, FSH, LH, GH T3T4, virosterone, cortisol, E2English Case reportEnglish Case reportCase 1 famale, 15years, complained “delayed growth ,acratia and a blur eyesight for 5 months. Hormone tests showed decreased T3T4 lev

6、el mardkedly high TSH level(75mIU/L)English Case reportEnglish Case reportpicture A-C demonstrate a larger pitutary gland,which grow upward like a ball with a clear boundary. The optic nerve and chiasm were raised.Theres no difference between lesion and posthypophysis. Picture D shows a delayed grow

7、th of the bone in wrist(about 5-6years compared to normal children).English Case reportEnglish Case reportNow, do you still keep the diagnosis of pitutary adenoma in your mind?Why are the lesion not enhanced?How do you think about the thyriod hormone and TSH level?English Case reportEnglish Case rep

8、ortIndeed, there are something strange in this case which can not be eaplained by pitutary adenoma.After the therapy of levothyroxine for 3 month, the complaint disappeared and nothing was found in MRI scan. English Case reportEnglish Case reportSo, its pituitary pseudotumor. What is so-called “pitu

9、itary pseudotumor or pituitary hyperplasia?physiologicalpathological adolescent pregnancy lactation Decreased function of the target gland the hormone therapy of great doesTumors that secrete hormone English Case reportEnglish Case reportThe most likely cause of pituitary pseudotumor is decreased fu

10、nction of the target gland especially thyriod gland. These patients usually come for cure with the syndrome of acratia,edema,delayed growth. Sometimes with damage of eyesight.English Case reportEnglish Case reportThe less likely cause of pituitary pseudotumor is decreased function of the target glan

11、d of ovarian and suprarenal gland with the syndrome of lactation, advanced menstruation and puberfy. English Case reportEnglish Case reportThe most important thing is precise dignosis and hormone therpy.Levothyroxine is usually accomdated, if needed, GH can be given at the same time. The Hormone lev

12、el should be checked usually.English Case reportEnglish Case reportThe MRI scan should be made after 3 months therapy. If the lesion decreased,we call it pituitary pseudotumor and take the way of “look-and-see .If it grows, surgical therpy should be considered.English Case reportEnglish Case reportBefore therpyAfter 3 months hormone therpy English Case reportEnglish Case report

展开阅读全文
相关资源
正为您匹配相似的精品文档
相关搜索

最新文档


当前位置:首页 > 建筑/环境 > 施工组织

电脑版 |金锄头文库版权所有
经营许可证:蜀ICP备13022795号 | 川公网安备 51140202000112号