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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(03): 888-892
DOI: 10.4103/ajns.AJNS_97_18
Case Report

The role of endoscopic endonasal approach in the multimodal management of giant pituitary adenoma: Case report and literature review

Authors

  • Salvatore Chibbaro

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Mario Ganau

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Arthur Gubian

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Antonino Scibilia

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Julien Todeschi

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Sophie Riehm

    1   Department of Neuro-Radiology, Hautepierre University Hospital, Strasbourg

  • Sebastien Moliere

    1   Department of Neuro-Radiology, Hautepierre University Hospital, Strasbourg

  • Christian Debry

    2   Department of ENT, Hautepierre University Hospital, Strasbourg

  • Bernard Goichot

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Francois Proust

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg

  • Helene Cebula

    Department of Neurosurgery, Hautepierre University Hospital, Strasbourg
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Giant pituitary adenomas (GPAs) are defined as pituitary lesions larger than 40 mm of diameter. Surgical resection remains the gold standard to decompress the optic apparatus, reduce lesion load, and preserve hormonal function. The endoscopic endonasal approach (EEA) has been increasingly used for the treatment of pituitary adenomas and skull base tumors due to the wide angle of view and exposure. Through the description of an exemplificative case of EEA resection of a nonsecreting GPA in the setting of a multimodal treatment, the authors discuss the advantages and disadvantages of this management strategy and provide a detailed review of the literature.

Key-words:

Endoscopic endonasal approach - giant pituitary adenoma - radiosurgery - transcranial route


Publikationsverlauf

Artikel online veröffentlicht:
14. September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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