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Postoperative Diagnostik und Substitutionstherapie bei Hypophysentumoren

Postoperative Endocrine Diagnostic and Therapy in Pituitary Tumors

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Book cover Oestrogene Hypophysentumoren

Part of the book series: Oestrogene Hypophysentumoren ((ENDOKRINOLOGIE,volume 15))

Summary

  1. 1.

    Perioperatively, patients with pituitary tumors should regularity receive Cortisol therapy, since it is difficult to predict exactly postoperative secondary adrenal insufficiency. Postoperative diabetes insipidus is instable and should be substituted carefully with fluid and antidiuretic hormone.

  2. 2.

    Follow-up studies of 19 patients with acromegaly and of 42 patients with pituitary tumors — chromophobe adenoma (N = 19), mixed type adenoma (N = 13) and eranio-pharyngeoma (N = 10) — were performed. Postoperatively, among the latter 42 patients, secondary hypogonadism (75%) was more frequently found than secondary adrenal insufficiency (65%) and secondary hypothyroidism (51%).

  3. 3.

    Long-term substitutive therapy of postoperative pituitary insufficiency has to follow careful diagnostic measures and must be controled in regular intervals. Any patient with pituitary tumor should postoperatively be provided with a certification warning of the danger of acute pituitary insufficiency in cases of accidents or acute illness.

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  1. II. Medizinische Klinik, Universität München, Deutschland

    P. C. Scriba

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  1. Pathologisches Institut der Universität, 6300, Gießen, Klinikstraße 32g, Deutschland

    Joachim Kracht

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Scriba, P.C. (1969). Postoperative Diagnostik und Substitutionstherapie bei Hypophysentumoren. In: Kracht, J. (eds) Oestrogene Hypophysentumoren. Oestrogene Hypophysentumoren, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95126-8_47

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