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

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
› Author Affiliations

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.



Publication History

Article published online:
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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