Pituitary Stone : Case Report
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概要
- 論文の詳細を見る
A 50-year-old male with acromegalic features presented with a pituitary stone in a growth hormonesecreting adenoma. Endocrinological examination showed "low growth hormone acromegaly." The serum growth hormone level responded to the thyrotropin-releasing hormone test and was not suppressed by oral glucose loading. Neuroimaging revealed an adenoma including a large calcification (pituitary stone) located in the right lateral wing. The adenoma with stone was totally removed by transsphenoidal surgery. The patient regained almost normal response of serum growth hormone. Histological examination showed the stone was composed of thick calcification surrounded by necrotic adenoma tissue and chronic hemorrhage. Large intratumoral pituitary stone is very rare, although calcification is sometimes observed in the adenoma capsule. The long history of this disease and previous apoplexy within the tumor may have caused the pituitary stone in this patient.
- 日本脳神経外科学会の論文
- 2000-07-15
著者
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TERAMOTO Akira
Departments of Neurosurgery, Nippon Medical School
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Osamura R.Yoshiyuki
Department of Pathology, Tokai University School of Medicine
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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KITAMURA Takayuki
Department of Mechanical Engineering and Science, Kyoto University
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TAMAKI Tomonori
Department of Neurosurgery, Nippon Medical School Tama Nagayama Hospital
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Kitamura Takayuki
Department Of Neurosurgery Nippon Medical School
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TAKUMI Ichirou
Department of Neurosurgery, Nippon Medical School, Tokyo
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Takumi Ichirou
Department Of Neurosurgery Nippon Medical School Tokyo
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Kitamura Takayuki
Department Of Engineering Physics And Mechanics Kyoto University
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Osamura R.yoshiyuki
Department Of Pathology & Division Of Diagnostic Pathology Tokai University School Of Medicine
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Tamaki Tomonori
Department Of Neurosurgery Nippon Medical School Tama Nagayama Hospital
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Tamaki Tomonori
Department Of Neurosurgery Nippon Medical School
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Kitamura Takayuki
Department Of Economics Kanagawa University
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Osamura R.yoshiyuki
Department Of Pathology Tokai University School Of Medicine Isehara Kanagawa
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Kitamura Takayuki
Department Of Anesthesia And Pain Relief Center The University Of Tokyo Hospital
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