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- Title
Extracapsular Resection of Noninvasive Functional Pituitary Adenomas.
- Authors
Deopujari, Chandrashekhar; Bhagwat, Aniruddha
- Abstract
The series by QingXin et al. in this issue very well describes the logically possible benefits expected from extracapsular resection of functional noninvasive pituitary adenoma.[[1]] The foundation of modern pituitary surgery for functioning tumors was laid by Jules Hardy from Montreal, who used magnification and illumination provided by an operating microscope for the first time to facilitate the selective radical resection of pituitary microadenomas.[[2]] This served the purpose of differentiating the surrounding normal parenchyma from the adenomatous tissue and thus preserving normal hormonal function. The concept of extracapsular excision presumes gross excision of the tumor, but cannot rule out a microscopic functional remnant, which may be to the tune of 70-85% [Figure 2]A and [Figure 2]B. The authors have inexplicably excluded patients with tumor recurrence from the series, which would be an important indicator of the success of extracapsular excision and may have an impact on their conclusions.[[1]].
- Subjects
PITUITARY surgery; PITUITARY tumors; CUSHING'S syndrome
- Publication
Neurology India, 2019, Vol 67, Issue 6, p1456
- ISSN
0028-3886
- Publication type
journal article
- DOI
10.4103/0028-3886.273656