In fact, pituitary tumor surgery and treatment methods are no longer too controversial. We have observed and learned about the treatment styles and surgical procedures of a number of “famous” experts, and we would like to share them with pituitary tumor patients in the hope that they will be helpful to their treatment.
Although there are many surgical procedures to be discussed, the most authoritative one is the “microscopic single nostril approach”. At present, all the most authoritative units and the most authoritative experts are “unified” to use, you said there is still a need to discuss? As for the use of endoscopes, almost all large units now have neuroendoscopes, and these top experts have alternately tried them, and eventually returned to the use of microscopes, but also do not refuse to use endoscopic assistance intraoperatively (in fact, skilled experts rarely do so), those who are still keen to discuss the procedure are mostly new units that carry out pituitary tumor transsphenoidal surgery.
2. What about the approach? The discussion is also basically over, almost all of them are “single nostril-pterygoid sinus approach”. The big players are all from the “nasal septum”, so they have a complete experience.
3. Do I need to go to a “pituitary tumor unit” for treatment if I find a pituitary tumor? The answer is: it is best to go. Of course, this can vary from person to person, and the difference between “specialized” and “non-specialized” is certainly “significant”. The same is true for Mercedes-Benz and BMW, and also for QQ. The last advice is, do not go to the “private” nature of the unit, so as not to be empty of money.
4.What do you mean by “a unit specializing in pituitary tumors”?
5.This year’s pituitary tumor article: I checked the keywords “pituitary adenoma” across the library, and there are 879 articles from 2009 to now, of which there are 0 articles from Shanghai Huashan Hospital, Beijing Tiantan Hospital and Peking Union Medical College Hospital. When I checked with the authors, several authoritative pituitary tumor experts in my article recommendation list did not appear in any articles, and at most appeared as assisting authors. Most of the articles are for units with less than 100 cases, and superb units like Huashan, which performs 1200 pituitary tumor surgeries per year, instead have no articles to follow. Articles from Concordia are also sporadic, and almost none from Tiantan Hospital. This indicates that pituitary tumor treatment has not been a “big topic” in recent years.
6. There is another operation, that is, “craniotomy”. Professor Wang Renzhi of Xiehe believes that “more than 95% of pituitary tumors are suitable for ‘transsphenoidal approach’ surgery”. If your tumor is really too large for “transsphenoidal surgery” and needs to be done cranially, you can discuss it with the surgeon in charge again.
To sum up: as a patient, you don’t need to spend your own energy and time to study professional issues such as surgery, and leave such issues to your doctor, and what you need to do is to make a “strategic” choice, which is to find a good medical unit and find.