假性垂体瘤英文及病例课件.ppt
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1、English Case report,Diagnosis and Therapy of Pituitary pseudotumor(pituitary thyrotroph hyperplasia)Neurosurgery Department,假性垂体瘤英文及病例,1,English Case reportDiagnosis,English Case report,Nowadays more and more lesions in saddle area are found by CT and MRI especially pituitary adenoma.Do you think al
2、l lesions in saddle area can be diagnosised pituitary adenoma?,假性垂体瘤英文及病例,2,English Case reportNowadays mo,English Case report,Many patients diagnosised pituitary adenoma preoperation was demonstrated to be hyperplasia or Pituitary pseudotumor,but not tumor.So,what led us to the misdiagnosis?,假性垂体瘤英
3、文及病例,3,English Case reportMany patien,English Case report,What is so-called“Pituitary pseudotumor”or“pituitary hyperplasia”?,假性垂体瘤英文及病例,4,English Case reportWhat is so-,English Case report,Pituitary gland,Thyriod gland,suprarenal gland,ovarian,hypothalamus,The axis of hormone control in our body,Con
4、trol function,Reverse feedback,假性垂体瘤英文及病例,5,English Case reportPituitary g,English Case report,That 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 ovarian,假性垂体瘤英文及病例,6,English Case reportThat i
5、s to,English Case report,The way that made these control goes is based on the hormone,such as TSH,ACTH,PRL,FSH,LH,GH T3T4,virosterone,cortisol,E2,假性垂体瘤英文及病例,7,English Case reportThe way tha,English Case report,Case 1 famale,15years,complained“delayed growth,acratia and a blur eyesight for 5 months”.
6、Hormone tests showed decreased T3T4 level mardkedly high TSH level(75mIU/L),假性垂体瘤英文及病例,8,English Case reportCase 1 假性垂体,English Case report,A,B,C,D,picture 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 dif
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