摘要
垂体炎是一种少见的垂体疾患,主要有两种类型:淋巴细胞性垂体炎(lymphocytic hypophysitis,LCH)和巨细胞肉芽肿性垂体炎(giant granulomatous hypophysitis,GGH).自Goudie 1962年首先报道LCH,至1987年已发现4例.自Simmonds 1917年第一次报告4例GGH,迄今约20例.早期文献报告病例均由尸检发现.由于经蝶窦显微手术的广泛开展,自1980年以来已陆续有经手术证实的病例报告,但国内尚未见报道.现将本院3例报告如下.
Three cases of rare chronic hypophysitis found by surgery are reported, with a review of the related literature. Two main types of inflammatory lesions of the pituitary gland are described: lymphocytic hypopbysitis (LCH) and giant-cell granulomatous hypophysitis (GGH). These present clinically as a pituitary tumor but are charac.erized by distinct hypopituitarism witb a slightly enlarged sella turcica. Only a few cases present as hyperprolactinemia. The inflammatory process may be resolved with hormonal replacement alone for LCH, while surgical intervention is proposed for GGH.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
1991年第5期376-379,T022,共5页
Acta Academiae Medicinae Sinicae
