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发布者:鑫达医学翻译 发布时间:2013-06-03 8:50:52 阅读:

原文:

医生诊断:从后2次验血查prolactin,排除泌乳素瘤

从mri看有3种可能,1)垂体囊肿,细分为3种a)水性囊肿b)含高蛋白质囊肿c) Rathke's 囊肿  2)颅咽管瘤  3)一个无分泌功能的瘤自己制造了一个囊肿包裹着肿瘤

治疗方案

囊肿位置考近视神经,如果长大会压迫视神经造成失明。没有药物可以治疗此类肿瘤,只有手术。手术不能经鼻碟,因为肿瘤不在垂体内,需穿过垂体怕破坏垂体功能。经眉心会留下明显疤痕,顾于稍高于发际线位置开颅。

医生建议

因现在没有明显症状,可以暂时观察。

半年照一次mri,查性激素和甲状腺功能,验眼睛测试va+vf

提醒如打算怀孕需要很小心,肿瘤会增加10%因荷尔蒙改变长大或出血。如果视觉模糊或视力下降需马上手术。

 

译文:

Diagnosis: the prolactinoma was excluded according to the results of last two prolactin tests. The type of cyst might be as follows: Pituitary cysts (aqueous cyst, cyst with high level of protein and Rathke's cyst), Craniopharyngioma, or a cyst produced by a tumor without secretion function to encapsule itself.

 

Treatment Plan: As the cyst was near the optic nerve, it may induce blindness with the compression caused by growth of the cyst. Surgery was recommended as no clinical drugs were available. The surgery could not be conducted via nose and sella turcica. Significant scar might be presented after surgery performed between the eyebrows. Therefore, the craniotomy should be performed in the position higher than the hair line. 

 

Suggestions: No treatment but observation. MRI should be performed every half a year. The level of gonadal hormone, the function of thyroid gland and the vision (VA and VF) should be tested. Pregnancy should be cautious. The cyst augmentation (10%) or bleeding would be noted with the alteration of hormone. The surgery should be performed immediately if the patient can’t see clearly or the vision was declined.


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