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Pituitary Adenomas

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Abstract

Pituitary adenomas represent the most common neoplasms near the sella turcica and constitute approximately 10–12% of all intracranial tumors (Seegenschmiedt 2008; Sanno et al. 2003). Pituitary tumors are classified as microadenomas or macroadenomas based on size, with microadenomas defined as <10 mm in diameter and macroadenomas being ≥10 mm in diameter (Knisely and Sperduto 2008). Pituitary adenomas are also divided into two broad categories: functioning (67%) and non-functioning (33%). Functioning adenomas can be further subdivided by which hormone is secreted: prolactin (28% of all pituitary adenomas), growth hormone (23%), ACTH (8%), and others (such as TSH-producing and gonadotropin-producing, 7%; Committee of Brain Tumor Registry of Japan 2000; Thapar et al. 1997). Management of pituitary adenomas can include observation, medical management, surgical management, and radiation therapy.

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References

  • Annegers JF, Schoenberg BS, Okazak H, Kurland LT (1981) Epidemiologic study of primary intracranial neoplasms. Arch Neurol 38:217–219

    Article  PubMed  CAS  Google Scholar 

  • Attanasio R, Epaminonda P, Motti E, Giugni E, Ventrella L, Cozzi R, Farabola M, Loli P, Beck-Peccoz P, Arosio M (2003) Gamma-knife radiosurgery in acromegaly: a 4-year follow-up study. J Clin Endocrinol Metab 88(7):3105–3112

    Article  PubMed  CAS  Google Scholar 

  • Backlund EO (1969) Stereotactic treatment of craniopharyngiomas. In: Hamberger CA, Wersäll J (eds) Nobel symposium 10: disorders of the skull base region. Almqvist and Wiksell, Stockholm, pp 237–244

    Google Scholar 

  • Becker G, Kocher M, Kortmann RD, Paulsen F, Jeremic B, Müller RP, Bamberg M (2002) Radiation therapy in the multimodal treatment approach of pituitary adenoma. Strahlenther Onkol 178(4):173–186

    Article  PubMed  Google Scholar 

  • Betti OO, Galmarini D, Derechinsky V (1991) Radiosurgery with a linear accelerator. Methodological aspects. Stereotact Funct Neurosurg 57(1–2):87–98

    Article  PubMed  CAS  Google Scholar 

  • Biermasz NR, Dulken HV, Roelfsema F (2000) Postoperative radiotherapy in acromegaly is effective in reducing GH concentration to safe levels. Clin Endocrinol (Oxf) 53(3): 321–327

    Article  CAS  Google Scholar 

  • Brada M, Jankowska P (2008) Radiotherapy for pituitary adenomas. Endocrinol Metab Clin North Am 37(1):263–275

    Article  PubMed  Google Scholar 

  • Brada M, Rajan B, Traish D, Ashley S, Holmes-Sellors PJ, Nussey S, Uttley D (1993) The long-term efficacy of conservative surgery and radiotherapy in the control of pituitary adenomas. Clin Endocrinol (Oxf) 38(6):571–578

    Article  CAS  Google Scholar 

  • Brada M, Ashley S, Ford D, Traish D, Burchell L, Rajan B (2002) Cerebrovascular mortality in patients with pituitary adenoma. Clin Endocrinol (Oxf) 57(6):713–717

    Article  CAS  Google Scholar 

  • Brada M, Ajithkumar TV, Minniti G (2004) Radiosurgery for pituitary adenomas. Clin Endocrinol 61:531–543

    Article  CAS  Google Scholar 

  • Breen P, Flickinger JC, Kondziolka D, Martinez AJ (1998) Radiotherapy for nonfunctional pituitary adenoma: analysis of long-term tumor control. J Neurosurg 89(6):933–938

    Article  PubMed  CAS  Google Scholar 

  • Chandler WF, Schteingart DE, Lloyd RV, McKeever PE, Ibarra-Perez G (1987) Surgical treatment of Cushing’s disease. J Neurosurg 66:204–212

    Article  PubMed  CAS  Google Scholar 

  • Choi JY, Chang JH, Chang JW, Ha Y, Park YG, Chung SS (2003) Radiological and hormonal responses of functioning pituitary adenomas after gamma knife radiosurgery. Yonsei Med J 44(4):602–607

    PubMed  Google Scholar 

  • Colin P, Jovenin N, Delemer B, Caron J, Grulet H, Hecart AC, Lukas C, Bazin A, Bernard MH, Scherpereel B, Peruzzi P, Nakib I, Redon C, Rousseaux P (2005) Treatment of pituitary adenomas by fractionated stereotactic radiotherapy: a prospective study of 110 patients. Int J Radiat Oncol Biol Phys 62(2):333–341

    Article  PubMed  Google Scholar 

  • Committee of Brain Tumor Registry of Japan (2000) Report of brain tumor registry of Japan (10th edn.). Neurol Med Chir 40(Suppl):5–11

    Google Scholar 

  • Donahue B (1992) Short- and long-term complications of radiation therapy for pediatric brain tumors. Pediatr Neurosurg 18(4):207–217

    Article  PubMed  CAS  Google Scholar 

  • Eastman RC, Gorden P, Glatstein E, Roth J (1992) Radiation therapy of acromegaly. Endocrinol Metab Clin North Am 21(3):693–712

    PubMed  CAS  Google Scholar 

  • Estrada J, Boronat M, Mielgo M, Magallón R, Millan I, Díez S, Lucas T, Barceló B (1997) The long-term outcome of pituitary irradiation after unsuccessful transsphenoidal surgery in Cushing’s disease. N Engl J Med 336(3):172–177

    Article  PubMed  CAS  Google Scholar 

  • Feigl GC, Bonelli CM, Berghold A, Mokry M (2002) Effects of gamma knife radiosurgery of pituitary adenomas on pituitary function. J Neurosurg 97(5 Suppl):415–421

    PubMed  Google Scholar 

  • Friedman RB, Oldfield EH, Nieman LK, Chrousos GP, Doppman JL, Cutler GB, Loriaux DL (1989) Repeat transsphenoidal surgery for Cushing’s disease. J Neurosurg 71:520–527

    Article  PubMed  CAS  Google Scholar 

  • Friedman TC, Zuckerbraun E, Lee ML, Kabil MS, Shahinian H (2007) Dynamic pituitary MRI has high sensitivity and specificity for the diagnosis of mild Cushing’s syndrome and should be part of the initial workup. Horm Metab Res 39(6):451–456

    Article  PubMed  CAS  Google Scholar 

  • Gittoes NJ, Bates AS, Tse W, Bullivant B, Sheppard MC, Clayton RN, Stewart PM (1998) Radiotherapy for non-function pituitary tumours. Clin Endocrinol (Oxf) 48(3): 331–337

    Article  CAS  Google Scholar 

  • Greenman Y, Ouaknine G, Veschev I, Reider-Groswasser II, Segev Y, Stern N (2003) Postoperative surveillance of clinically non-functional pituitary macroadenomas: markers of tumor quiescence and regrowth. Clin Endocrinol 58: 763–769

    Article  CAS  Google Scholar 

  • Grigsby PW, Simpson JR, Emami BN, Fineberg BB, Schwartz HG (1989) Prognostic factors and results of surgery and postoperative irradiation in the management of pituitary adenomas. Int J Radiat Oncol Biol Phys 16(6):1411–1417

    Article  PubMed  CAS  Google Scholar 

  • Hayashi M, Izawa M, Hiyama H, Nakamura S, Atsuchi S, Sato H, Nakaya K, Sasaki K, Ochiai T, Kubo O, Hori T, Takakura K (1999) Gamma Knife radiosurgery for pituitary adenomas. Stereotact Funct Neurosurg 72(Suppl 1):111–118

    Article  PubMed  Google Scholar 

  • Howlett TA, Plowman PN, Wass JA, Rees LH, Jones AE, Besser GM (1989) Megavoltage pituitary irradiation in the management of Cushing’s disease and Nelson’s syndrome: long-term follow-up. Clin Endocrinol (Oxf) 31(3):309–323

    Article  CAS  Google Scholar 

  • Höybye C, Grenbäck E, Rähn T, Degerblad M, Thorén M, Hulting AL (2001) Adrenocorticotropic hormone-producing pituitary tumors: 12- to 22-year follow-up after treatment with stereotactic radiosurgery. Neurosurgery 49(2):284–291

    Article  PubMed  Google Scholar 

  • Iwai Y, Yamanaka K, Yoshioka K (2005) Radiosurgery for nonfunctioning pituitary adenomas. Neurosurgery 56(4):699–705, discussion 699–705

    Article  PubMed  Google Scholar 

  • Izawa M, Hayashi M, Nakaya K, Satoh H, Ochiai T, Hori T, Takakura K (2000) Gamma knife radiosurgery for pituitary adenomas. J Neurosurg 93(Suppl 3):19–22

    PubMed  Google Scholar 

  • Jensen RL, Wendland MM, Chern SS, Shrieve DC (2008) Novalis intensity-modulated radiosurgery: methods for pretreatment planning. Neurosurgery 62(5 Suppl):A2–A9

    Article  PubMed  Google Scholar 

  • Kim SH, Huh R, Chang JW, Park YG, Chung SS (1999) Gamma Knife radiosurgery for functioning pituitary adenomas. Stereotact Funct Neurosurg 72(Suppl 1):101–110

    Article  PubMed  Google Scholar 

  • Knisely JPS, Sperduto PW (2008) Pituitary and pituitary region tumors: fractionated radiation therapy perspective. In: Chin L, Regine W (eds) Principles and practice of stereotactic radiosurgery. Springer, New York, pp 317–326

    Chapter  Google Scholar 

  • Kobayashi T, Kida Y, Mori Y (2002) Gamma knife radiosurgery in the treatment of Cushing disease: long-term results. J Neurosurg 97(5 Suppl):422–428

    PubMed  Google Scholar 

  • Landolt AM, Lomax N (2000) Gamma knife radiosurgery for prolactinomas. J Neurosurg 93(Suppl 3):14–18

    PubMed  Google Scholar 

  • Landolt AM, Haller D, Lomax N, Scheib S, Schubiger O, Siegfried J, Wellis G (2000) Octreotide may act as a radioprotective agent in acromegaly. J Clin Endocrinol Metab 85(3):1287–1289

    Article  PubMed  CAS  Google Scholar 

  • Laws ER Jr, Vance ML (1999) Radiosurgery for pituitary tumors and craniopharyngiomas. Neurosurg Clin N Am 10(2):327–336

    PubMed  Google Scholar 

  • Laws ER, Ebersold MJ, Piepgras DG (1982) The results of transsphenoidal surgery in specific clinical entities. In: Laws ER, Randall R, Kern EB, Abboud CF (eds) Management of pituitary adenomas and related lesions with emphasis on transsphenoidal microsurgery. Appleton-Century-Crofts, New York, pp 277–305

    Google Scholar 

  • Laws ER, Sheehan JP, Sheehan JM, Jagnathan J, Jane JA Jr, Oskouian R (2004) Stereotactic radiosurgery for pituitary adenomas: a review of the literature. J Neurooncol 69(1–3): 257–272

    Article  PubMed  Google Scholar 

  • Leksell L (1951) The stereotaxic method and radiosurgery of the brain. Acta Chir Scand 102:316–319

    PubMed  CAS  Google Scholar 

  • Levivier M, Massager N, Wikler D, Lorenzoni J, Ruiz S, Devriendt D, David P, Desmedt F, Simon S, Van Houtte P, Brotchi J, Goldman S (2004) Use of stereotactic PET images in dosimetry planning of radiosurgery for brain tumors: clinical experience and proposed classification. J Nucl Med 45(7):1146–1154

    PubMed  Google Scholar 

  • Levy RP, Fabrikant JI, Frankel KA, Phillips MH, Lyman JT, Lawrence JH, Tobias CA (1991) Heavy-charged-particle radiosurgery of the pituitary gland: clinical results of 840 patients. Stereotact Funct Neurosurg 57(1–2):22–35

    Article  PubMed  CAS  Google Scholar 

  • Lim YL, Leem W, Kim TS, Rhee BA, Kim GK (1998) Four years’ experiences in the treatment of pituitary adenomas with gamma knife radiosurgery. Stereotact Funct Neurosurg 70(Suppl 1):95–109

    Article  PubMed  Google Scholar 

  • Littley MD, Shalet SM, Reid H, Beardwell CG, Sutton ML (1991) The effect of external pituitary irradiation on elevated serum prolactin levels in patients with pituitary macroadenomas. Q J Med 81(296):985–998

    Article  PubMed  CAS  Google Scholar 

  • Losa M, Valle M, Mortini P, Franzin A, da Passano CF, Cenzato M, Bianchi S, Picozzi P, Giovanelli M (2004) Gamma knife surgery for treatment of residual nonfunctioning pituitary adenomas after surgical debulking. J Neurosurg 100(3): 438–444

    Article  PubMed  Google Scholar 

  • Mackley HB, Reddy CA, Lee SY, Harnisch GA, Mayberg MR, Hamrahian AH, Suh JH (2007) Intensity-modulated radiotherapy for pituitary adenomas: the preliminary report of the Cleveland Clinic experience. Int J Radiat Oncol Biol Phys 67(1):232–239

    Article  PubMed  Google Scholar 

  • McCollough WM, Marcus RB Jr, Rhoton AL Jr, Ballinger WE, Million RR (1991) Long-term follow-up of radiotherapy for pituitary adenoma: the absence of late recurrence after greater than or equal to 4500 cGy. Int J Radiat Oncol Biol Phys 21(3):607–614

    Article  PubMed  CAS  Google Scholar 

  • Meij BP, Lopes MB, Ellegala DB, Alden TD, Laws ER (2002) The long-term significance of microscopic dural invasion in 354 patients with pituitary adenomas treated with transsphenoidal surgery. J Neurosurg 39:437–444

    Google Scholar 

  • Milker-Zabel S, Debus J, Thilmann C, Schlegel W, Wannenmacher M (2001) Fractionated stereotactically guided radiotherapy and radiosurgery in the treatment of functional and nonfunctional adenomas of the pituitary gland. Int J Radiat Oncol Biol Phys 50(5):1279–1286

    Article  PubMed  CAS  Google Scholar 

  • Mingione V, Yen CP, Vance ML, Steiner M, Sheehan J, Laws ER, Steiner L (2006) Gamma surgery in the treatment of nonsecretory pituitary macroadenoma. J Neurosurg 104(6): 876–883

    Article  PubMed  Google Scholar 

  • Minniti G, Traish D, Ashley S, Gonsalves A, Brada M (2005) Risk of second brain tumor after conservative surgery and radiotherapy for pituitary adenoma: update after an additional 10 years. Clin Endocrinol Metab 90(2):800–804

    CAS  Google Scholar 

  • Minniti G, Traish D, Ashley S, Gonsalves A, Brada M (2006) Fractionated stereotactic conformal radiotherapy for secreting and nonsecreting pituitary adenomas. Clin Endocrinol (Oxf) 64(5):542–548

    Article  CAS  Google Scholar 

  • Mitsumori M, Shrieve DC, Alexander E III, Kaiser UB, Richardson GE, Black PM, Loeffler JS (1998) Initial clinical results of LINAC-based stereotactic radiosurgery and stereotactic radiotherapy for pituitary adenomas. Int J Radiat Oncol Biol Phys 42(3):573–580

    Article  PubMed  CAS  Google Scholar 

  • Mokry M, Ramschak-Schwarzer S, Simbrunner J, Ganz JC, Pendl G (1999) A six year experience with the postoperative radiosurgical management of pituitary adenomas. Stereotact Funct Neurosurg 72(Suppl 1):88–100

    Article  PubMed  Google Scholar 

  • Muhr C (2006) Positron emission tomography in acromegaly and other pituitary adenoma patients. Neuroendocrinology 83(3–4):205–210

    Article  PubMed  CAS  Google Scholar 

  • Nagesser SK, van Seters AP, Kievit J, Hermans J, van Dulken H, Krans HM, van de Velde CJ (2000) Treatment of pituitary-dependent Cushing’s syndrome: long-term results of unilateral adrenalectomy followed by external pituitary irradiation compared to transsphenoidal pituitary surgery. Clin Endocrinol (Oxf) 52(4):427–435

    Article  CAS  Google Scholar 

  • Ozgen T, Oruckaptan HH, Ozcan OE, Acikgoz B (1999) Prolactin secreting pituitary adenomas: analysis of 429 surgically treated patients, effect of adjuvant treatment modalities and review of the literature. Acta Neurochir (Wien) 141(12):1287–1294

    Article  CAS  Google Scholar 

  • Paek SH, Downes MB, Bednarz G, Keane WM, Werner-Wasik M, Curran WJ Jr, Andrews DW (2005) Integration of surgery with fractionated stereotactic radiotherapy for treatment of nonfunctioning pituitary macroadenomas. Int J Radiat Oncol Biol Phys 61(3):795–808

    Article  PubMed  Google Scholar 

  • Petrovich Z, Yu C, Giannotta SL, Zee CS, Apuzzo ML (2003) Gamma knife radiosurgery for pituitary adenoma: early results. Neurosurgery 53(1):51–59, Discussion 59–61

    Article  PubMed  Google Scholar 

  • Pirzkall A, Debus J, Haering P, Rhein B, Grosser KH, Höss A, Wannenmacher M (2003) Intensity modulated radiotherapy (IMRT) for recurrent, residual, or untreated skull-base meningiomas: preliminary clinical experience. Int J Radiat Oncol Biol Phys 55(2):362–372

    Article  PubMed  Google Scholar 

  • Pollock BE, Carpenter PC (2003) Stereotactic radiosurgery as an alternative to fractionated radiotherapy for patients with recurrent or residual nonfunctioning pituitary adenomas. Neurosurgery 53(5):1086–1091, Discussion 1091–1094

    Article  PubMed  Google Scholar 

  • Pollock BE, Nippoldt TB, Stafford SL, Foote RL, Abboud CF (2002) Results of stereotactic radiosurgery in patients with hormone-producing pituitary adenomas: factors associated with endocrine normalization. J Neurosurg 97(3):525–530

    Article  PubMed  Google Scholar 

  • Radhakrishnan K, Mokri B, Parisi JE, O’Fallon WM, Sunku J, Kurland LT (1995) The trends in incidence of primary brain tumors in the population of Rochester, Minnesota. Ann Neurol 37:67–73

    Article  PubMed  CAS  Google Scholar 

  • Rahimian J, Chen JC, Rao AA, Girvigian MR, Miller MJ, Greathouse HE (2004) Geometrical accuracy of the Novalis stereotactic radiosurgery system for trigeminal neuralgia. J Neurosurg 101(3 Suppl):351–355

    PubMed  Google Scholar 

  • Sanno N, Teramoto A, Osamura RY, Horvath E, Kovacs K, Lloyd RV, Scheithauer BW (2003) Pathology of pituitary tumors. Neurosurg Clin N Am 14:25–39

    Article  PubMed  Google Scholar 

  • Sasaki R, Murakami M, Okamoto Y, Kono K, Yoden E, Nakajima T, Nabeshima S, Kuroda Y (2000) The efficacy of conventional radiation therapy in the management of pituitary adenoma. Int J Radiat Oncol Biol Phys 47(5):1337–1345

    Article  PubMed  CAS  Google Scholar 

  • Seegenschmiedt MH (2008) Radiotherapy of nonmalignant diseases. In: Halperin EC, Perez CA, Brady LW (eds) Perez and Brady’s principles and practice of radiation oncology, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1936–1937

    Google Scholar 

  • Sheehan JM, Vance ML, Sheehan JP, Ellegala DB, Laws ER Jr (2000) Radiosurgery for Cushing’s disease after failed transsphenoidal surgery. J Neurosurg 93(5):738–742

    Article  PubMed  CAS  Google Scholar 

  • Sheehan JP, Kondziolka D, Flickinger J, Lunsford LD (2002) Radiosurgery for residual or recurrent nonfunctioning pituitary adenoma. J Neurosurg 97(5 Suppl):408–414

    PubMed  Google Scholar 

  • Shomali ME (2008) Pituitary and pituitary region tumors: medical therapy perspective. In: Chin L, Regine W (eds) Principles and practice of stereotactic radiosurgery. Springer, New York, pp 327–331

    Chapter  Google Scholar 

  • Syndikus I, Tait D, Ashley S, Jannoun L (1994) Long-term follow-up of young children with brain tumors after irradiation. Int J Radiat Oncol Biol Phys 30(4):781–787

    Article  PubMed  CAS  Google Scholar 

  • Thalassinos NC, Tsagarakis S, Ioannides G, Tzavara I, Papavasiliou C (1998) Megavoltage pituitary irradiation lowers but seldom leads to safe GH levels in acromegaly: a long-term follow-up study. Eur J Endocrinol 138(2): 160–163

    Article  PubMed  CAS  Google Scholar 

  • Thapar K, Kovacs K, Laws ER (1997) Pituitary tumors. In: Black P, Loeffler J (eds) Cancer of the nervous system. Blackwell, Cambridge, pp 106–127

    Google Scholar 

  • Tishler RB, Loeffler JS, Lunsford LD, Duma C, Alexander E III, Kooy HM, Flickinger JC (1993) Tolerance of cranial nerves of the cavernous sinus to radiosurgery. Int J Radiat Oncol Biol Phys 27(2):215–221

    Article  PubMed  CAS  Google Scholar 

  • Tsagarakis S, Grossman A, Plowman PN, Jones AE, Touzel R, Rees LH, Wass JA, Besser GM (1991) Megavoltage pituitary irradiation in the management of prolactinomas: long-term follow-up. Clin Endocrinol 34(5):399–406

    Article  CAS  Google Scholar 

  • Tsang RW, Brierley JD, Panzarella T, Gospodarowicz MK, Sutcliffe SB, Simpson WJ (1994) Radiation therapy for pituitary adenoma: treatment outcome and prognostic factors. Int J Radiat Oncol Biol Phys 30(3):557–565

    Article  PubMed  CAS  Google Scholar 

  • Tsang RW, Brierley JD, Panzarella T, Gospodarowicz MK, Sutcliffe SB, Simpson WJ (1996) Role of radiation therapy in clinical hormonally-active pituitary adenomas. Radiother Oncol 41(1):45–53

    Article  PubMed  CAS  Google Scholar 

  • Varia MA, Ewend MG, Sharpless J, Morris DE (2007) Pituitary tumors. In: Gunderson LL, Tepper JE (eds) Clinical radiation oncology, 2nd edn. Elsevier Churchill Livingstone, Philadelphia, pp 567–589

    Google Scholar 

  • Wallace EA, Holdaway IM (1995) Treatment of macroprolactinomas at Auckland Hospital 1975–91. NZ Med J 108(994):50–52

    CAS  Google Scholar 

  • Williams M, van Seters AP, Hermans J, Leer JW (1994) Evaluation of the effects of radiotherapy on macroprolactinomas using the decline rate of serum prolactin levels as a dynamic parameter. Clin Oncol 6(2):102–109

    Article  CAS  Google Scholar 

  • Witt TC, Kondziolka D, Flickinger JC, Lunsford LD (1998) Gamma Knife radiosurgery for pituitary tumors. In: Lunsford LD, Kondziolka D, Flickinger JC (eds) Progress in neurological surgery, vol 14. Karger, Basel, pp 114–127

    Google Scholar 

  • Woollons AC, Hunn MK, Rajapakse YR, Toomath R, Hamilton DA, Conaglen JV, Balakrishnan V (2000) Non-functioning pituitary adenomas: indications for postoperative radiotherapy. Clin Endocrinol (Oxf) 53(6):713–717

    Article  CAS  Google Scholar 

  • Wowra B, Stummer W (2002) Efficacy of gamma knife radiosurgery for nonfunctioning pituitary adenomas: a quantitative follow-up with magnetic resonance imaging-based volumetric analysis. J Neurosurg 97(5 Suppl):429–432

    PubMed  Google Scholar 

  • Wurm RE, Erbel S, Schwenkert I, Gum F, Agaoglu D, Schild R, Schlenger L, Scheffler D, Brock M, Budach V (2008) Novalis frameless image-guided noninvasive radiosurgery: initial experience. Neurosurgery 62(5 Suppl):A11–A17, discussion A17–A18

    Article  PubMed  Google Scholar 

  • Yoon PH, Kim DI, Jeon P, Lee SI, Lee SK, Kim SH (2001) Pituitary adenomas: early postoperative MR imaging after transsphenoidal resection. Am J Neuroradiol 22(6): 1097–1104

    PubMed  CAS  Google Scholar 

  • Zhang N, Pan L, Dai J, Wang B, Wang E, Zhang W, Cai P (2000) Gamma Knife radiosurgery as a primary surgical treatment for hypersecreting pituitary adenomas. Stereotact Funct Neurosurg 75(2–3):123–128

    Article  PubMed  CAS  Google Scholar 

  • Zierhut D, Flentje M, Adolph J, Erdmann J, Raue F, Wannenmacher M (1995) External radiotherapy of pituitary adenomas. Int J Radiat Oncol Biol Phys 33(2):307–314

    Article  PubMed  CAS  Google Scholar 

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Lien, W.W., Chen, J.C. (2011). Pituitary Adenomas. In: De Salles, A., et al. Shaped Beam Radiosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11151-8_10

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