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自Herlant等(1965)报导垂体催乳激素腺瘤后,既往的垂体腺瘤分类已不适用。以前认为无分泌的“嫌色性”腺瘤,通过内分泌检查,大多属于分泌性腺瘤,并得分类确诊施治。作者就一年半期间内经手术治疗的90例垂体腺瘤,其中最多的是催乳激素腺瘤计40例,其次是生长激素腺瘤30例,促肾上腺皮质激素腺瘤3例,嫌色性腺瘤17例。本文特将此40例催乳激素腺瘤的诊治,生物学和组织学检查以及长期内分泌随诊的结果作如下分析。
The classification of past pituitary adenomas has not been applied since Herlant et al. (1965) reported that pituitary prolactin adenomas. Previously believed that no secretion of “chromophobic” adenomas, through endocrine examination, mostly secretory adenomas, and classified diagnosis and treatment. The authors of the 90 cases of pituitary adenoma treated surgically during the year and a half period, the most is the prolactin adenoma count 40 cases, followed by 30 cases of growth hormone adenoma, adrenocorticotropic hormone adenoma in 3 cases, chromophobe adenoma 17 cases. This article specifically analyzes the diagnosis, treatment, biological and histological examinations and long-term endocrine follow-up results of 40 prolactin adenomas as follows.