Revista Cubana de Medicina Militar
versão On-line ISSN 1561-3046
GARCIA MOREIRA, Tania et al. Pre- and postsurgical tomographic and clinical correlation in the tumors of the sellar region. Rev Cub Med Mil [online]. 2008, vol.37, n.1, pp. 0-0. ISSN 1561-3046.
The high prevalence of hypophyseal macroadenomas in the world motivated us to conduct this research aimed at demonstrating the value of computerized tomography and its usefulness to define the surgical technique in these cases. To this end, 124 patients operated on with the clinical tomographic diagnosis of hypophyseal macroadenomas and other tumors of the sellar region that were less common were studied. 100 % of the tumors with C-E and C-D growth were approached by transcranial route, whereas in the other 99 with A, B or C growth, it was used the transsphenoidal route. The tomographic and clinical complications were higher in the first route, and the tumor debris (40 %), the relapses (28 %) and the damage of the cranial nerves (28 %) stood out. The postoperative clinical improvement attained was significant the same as the degree of control of the adenomas, which showed the high diagnostic value of computerized tomography and its usefulness to establish the suitable surgical strategy. This shows a high sensitivity in the detection of some postoperative complications that may be assessed by using this method.
Palavras-chave : Tumor; sellar region; computerized tomography; adenoma; hypophysis.