By Kamal Thapar, Kalman Kovacs, Bernd Scheithauer, Ricardo V. Lloyd
Eminent clinicians and experts completely assessment in nice element each point of pituitary tumors. the subjects lined comprise prolactinomas, somatotroph adenomas, corticotroph adenomas, thyrotroph adenomas, nonfunctioning tumors, pituitary tumors, invasive adenomas, and pituitary carcinomas, in addition to lesions, particular of pituitary adenomas, that happen within the sellar area. additionally mentioned are the recent tools in endocrine analysis, excessive solution imaging, receptor-mediated pharmacotherapy, microsurgical suggestions, superior tools of radiation supply, and the advance of an actual and physiologically significant class of pituitary tumors. Much-needed and brilliantly multidisciplinary, analysis and administration of Pituitary Tumors bargains all these facing pituitary melanoma sufferers latest so much finished advisor to analysis and therapy, one whose coordinated remedy innovations have sharply enhanced long term survival charges for plenty of sufferers.
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Extra info for Diagnosis and Management of Pituitary Tumors
The upper layer of the tela choroidea is attached to the lower surface of the fornix and the hippocampal commissure (Figures 16 and 17). The lower wall is attached to the teniae thalami, small ridges on the free edge of a fiber tract, the striae medullaris thalami, which extends along the superomedial border of the thalamus from the foramen of Monro to the habenular commissure. The posterior part of the lower wall is attached to the superior surface of the pineal body. The internal cerebral veins arise in the anterior part of the velum interpositum, just behind the foramen of Monro, and they exit the velum interpositum above the pineal body to enter the quadrigeminal cistern and join the great vein.
The anterior half of the floor is formed by diencephalic structures, and the posterior half is formed by mesencephalic structures. When viewed from inferiorly, the structures forming the floor from anterior to posterior include the optic chiasm, infundibulum of the hypothalamus, tuber cinereum, mamillary bodies, posterior perforated substance, and (most posteriorly), the part of the teg- CHAPTER 2 / THE PITUITARY SELLAR REGION ANATOMY 27 Figure 2-12 Intercavernous venous connections. (A) The ophthalmic artery arises from the superior aspect of the carotid artery and courses laterally beneath the optic nerve to the optic foramen.
21). Pituitary adenomas commonly involve the anterior incisural space. The anterior incisural space corresponds roughly to the suprasellar area. From the front of the midbrain, it extends obliquely forward and upward around the optic chiasm to the subcallosal area. It opens laterally into the sylvian fissure and posteriorly between the uncus and the brainstem into the middle incisural space (Figure 16). The part of the anterior incisural space located below the optic chiasm has posterior and posterolateral walls.
Diagnosis and Management of Pituitary Tumors by Kamal Thapar, Kalman Kovacs, Bernd Scheithauer, Ricardo V. Lloyd