Abstract
In 1886, Marie1 suggested a relationship between acromegaly and pituitary tumors. By 1893, Caton and Paul2 reported an attempt at removal of a growth hormone (GH)-producing tumor via craniotomy and middle fossa approach. In 1905, Krause3 suggested an approach through the anterior cranial fossa, and in 1906, Sir Victor Horsley4 reported on 10 cases approached via the middle fossa. The techniques were crude and visibility poor; alternative routes were sought. The first extracranial transsphenoidal procedure was probably that by Schloffer5 in 1907, although Giordano6 had suggested a transsinus approach in 1897. Cushing7 began using a transsphenoidal approach in 1909, and thereafter performed over 200 cases via this route. Until then, the operation involved considerable dissection of the frontal sinus, nose, ethmoids, and sphenoids and was very disfiguring. In 1910, Halstead8 performed surgery through a transoronasal route with an incision through the mucosa above the upper teeth, utilizing the submucosal techniques of Kocher.9 In 1910, Oscar Hirsch10 did the first of 413 transsphenoidal procedures,1112 and introduced Harvey Cushing to the procedure. Cushing’s reputation attracted many patients, and within several years he had performed over 100 cases.13
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References
P. Marie, Sur deux cas d’acromegalie: Hypertrophie singuliere, non congenitale, des extremities superieures, inferieure et cephalique, Rev. Med. (Paris) 6:297–333, 1886.
R. Caton and F.T. Paul, Notes of a case of acromegaly treated by operation, Br. Med. J. 2:1421–1432, 1893.
F. Krause, Hirnchirurgie, Dtsch. Klin. 8:953–1024, 1905.
V. Horsley, On the technique of operation on the central nervous system, Br. Med. J. 2:411, 1906.
H. Schloffer, Erfolgreiche Operation eines Hypophysecentumors auf nasalem Wege, Wien. Klin. Wochenschr. 20:621–624, 1907.
F. Giordano, Compendio Chir. Operat. Ital. 2:100, 1897 (quoted by G.J. Heuer, The surgical approach and the treatment of tumors and other lesions about the optic chiasm, Surg. Gynecol. Obstet 53:489–518, 1931).
H. Cushing, Partial hypophysectomy for acromegaly with remarks on the function of the hypophysis, Ann. Surg. 50:1002–1017, 1909.
A.E. Halstead, Remarks on the operative treatment of tumors of the hypophysis, with the report of two cases operated on by an oro-nasal method, Surg. Gynecol. Obstet. 10:494–502, 1910.
T. Kocher, Die Verletzungen der Wirbelsäule zugleich als Beitrag zur Physiologie des menschlichen Ruckenmarks Mitt a.d., Grenzgeb. Med. Chir. 1:415–580, 1896.
O. Hirsch, Endonasal method of removal of hypophyseal tumours: With report of two cases, J. Am. Med. Assoc. 55:772, 1910.
O. Hirsch, Pituitary tumours: A borderland between cranial and trans-sphenoidal surgery, N. Eng. J. Med. 254:937–939, 1954.
O. Hirsch, Life-long cures and improvements after trans-sphenoidal operation of pituitary tumours (thirty-three patients followed for 20–37 years), Acta Ophthalmol. (Copenhagen) Suppl. 56:60, 1959.
H. Cushing, Surgical experiences with pituitary disorders, J. Am. Med. Assoc. 63:1515–1525, 1914.
C.H. Frazier, An approach to the hypophysis through the anterior cranial fossa, Ann. Surg. 57:145–150, 1913.
C.H. Frazier and F.C. Grant, Pituitary disorder, a digest of 100 cases, with remarks on the surgical treatment, J. Am. Med. Assoc. 85:1103–1106, 1925.
H. Cushing, The Pituitary Body and Its Disorders: Clinical States Produced By Disorders of the Hypophysis Cerebri, p. 341, J.B. Lippincott, Philadelphia, 1912.
H. Cushing, Intracranial Tumors: Notes upon a Series of Two Thousand Verified Cases with Surgical-Mortality Percentages Pertaining Thereto, Charles C. Thomas, p. 150, Springfield, Illinois, 1932.
W.R. Henderson, The pituitary adenomata: Follow-up study of surgical results in 338 cases (Dr. Harvey Cushing’s series), Br. J. Surg. 26:811–921, 1939.
H.C. Johnson, Surgery of the hypophysis, in: A History of Neurological Surgery (W.E. Walker, ed.), pp. 152–177, Hafner, New York, 1967.
E.C. Kendall, Some observations on the hormone of the adrenal cortex designated Compound E, Mayo Clin. Proc. 24:298, 1949.
G. Guiot and B. Thibaut, L’extirpation des adenomes hypophysares par voie transsphenoidale, Neuro-Chirur. (Stuttgart) 1:133, 1959.
J. Hardy, Microsurgery Applied to Neurosurgery (M.G. Yasargil, ed.), pp. 180–193, Academic Press, New York, 1969.
J. Hardy, A. Panisset, A. Marchildon, and A. Lanthier, Microsurgical selective anterior pituitary ablation for diabetic retinopathy, Can. Med. Assoc. J. 100:785–792, 1969.
L.I. Malis, Bipolar coagulation in microsurgery, in: Microsurgery Applied to Neurosurgery (M.G. Yasargil, ed.), pp. 41–45, Academic Press, New York, 1969.
C.H. Chang and J.L. Pool, The radiotherapy of pituitary chromophobe adenomas, Radiology 89:1005, 1967.
L.M. Davidoff, Symposium on pituitary tumours. IV. Discussion of papers, J. Neurosurg. 19:22, 1962.
R.T. Costello, Subclinical adenoma of the pituitary gland, Am. J. Pathol. 12:205–215, 1936.
J.W. Kernohan and G.P. Sayre, Tumors of the pituitary gland and infundibulum, in: Atlas of Tumor Pathology, 1st Series, Fascicle 36, Armed Forces Institute of Pathology, Washington, D.C., 1956.
G.E. Sheline, Comment in discussion, in: Diagnosis and Treatment of Pituitary Tumors (P.O. Kohler and G.T. Ross, eds.), pp. 157–158, Excerpta Medica, Amsterdam, 1973.
J.B. Tyrrell, R.M. Brooks, P.A. Fitzgerald, P.B. Cofoid, P.H. Forsham, and C.B. Wilson, Cushing’s disease: Selective trans-sphenoidal resection of pituitary microadenomas, N. Engl. J. Med. 298(14):753–758, 1978.
W.H. Daughaday, Cushing’s disease and basophilic microadenomas (editorial), N. Engl. J. Med. 298(14):793, 1978.
R.M. Salassa, E.R. Laws, Jr., P.C. Carpenter, and R.C. Northcutt, Transsphenoidal removal of pituitary midroadenoma in Cushing’s disease, Mayo Clin. Proc. 53:24–28, 1978.
D.P. MacErlean and F.H. Doyle, The pituitary fossa in Cushing’s syndrome: A retrospective analysis of 93 patients, Br. J. Radiol. 49:820–826, 1976.
R.M. Salassa, T.P. Kearns, J.W. Kernohan, et al., Pituitary tumors in patients with Cushing’s syndrome, J. Clin. Endocrinol. Metab. 19:1523–1539, 1959.
T.J. Moore, R.G. Dluhy, G.H. Williams, and J.P. Cain, Nelson’s syndrome: Frequency, prognosis, and effect of prior pituitary irradiation, Ann. Intern. Med. 85(6):731–734, 1976.
A.S. Jennings, G.W. Liddle, and D.N. Orth, Results of treating childhood Cushing’s disease with pituitary irradiation, N. Engl. J. Med. 297(18):957–962, 1977.
D.N. Orth and G.W. Liddle, Results of treatment in 108 patients with Cushing’s syndrome, N. Engl. J. Med. 285:243, 1971.
F.C. Dohan, A. Raventos, N. Boucot, and E. Rose, Roentgen therapy in Cushing’s syndrome without adrenocortical tumor, J. Clin. Endocrinol. Metab. 17:8, 1957.
A.D. Wright, D.M. Hill, C. Lowy, and T.R. Fraser, Mortality in acromegaly, Q. J. Med. 39:1–16, 1970.
J. Roth, P. Gorden, and K. Brace, Efficacy of conventional pituitary irradiation in acromegaly, N. Engl. J. Med. 282(25):1385–1391, 1970.
J.F. Aloia, M.S. Roginsky, and J.O. Archambeau, Pituitary irradiation in acromegaly, Am. J. Med. Sci. 267(2):81–87, 1974.
R.N. Kjellberg, A. Shintani, A.G. Frantz, and B. Kliman, Proton-beam therapy in acromegaly, N. Engl. J. Med. 278(13):690–695, 1968.
R.N. Kjellberg and B. Kliman, Radiosurgery therapy for pituitary adenoma, Presented at a Symposium on Pituitary Tumors, Tufts—New England Medical Center, Boston, Massachusetts, April 5, 1978.
M.E. Molitch, Medical therapy of pituitary tumors, in: The Pituitary Adenoma (K.D. Post, I.M.D. Jackson, and S. Reichlin, eds.), Plenum Press, New York, 1980.
S. Franks, H.S. Jacobs, and J.D.N. Nabarro, Studies of prolactin in pituitary disease, J. Endocrinol. 67:55, 1977.
J.L. Antunes, E.M. Housepian, A.G. Frantz, D.A. Holub, R.M. Hui, P.W. Carmel, and D.O. Quest, Prolactin-secreting pituitary tumors, Ann. Neurol. 2:148–153, 1977.
J. Hardy, Clinical Neurosurgery p. 16, Williams and Wilkins, Baltimore, 1969.
J. Hardy, Trans-sphenoidal microsurgical removal of pituitary adenoma, in: Recent Progress in Neurological Surgery, p. 86, Excerpta Medica, Amsterdam, 1974.
J.N. Carter, J.E. Tyson, G. Tolis, S. Van Vliet, C. Faiman, and H.G. Friesen, Prolactin-secreting tumors and hypogonadism in 22 men, N. Engl. J. Med. 299(16):847–852, 1978.
S.M. Wolpert, The radiology of pituitary adenomas—an update, in: The Pituitary Adenoma (K.D. Post, I.M.D. Jackson, and S. Reichlin, eds.), Plenum Press, New York, 1980.
J.L. Vezina and S.J. Tudor, Prolactin-secreting pituitary microadenomas: Roentgenologic diagnosis, Am. J. Roentgenol. Radium Ther. Nucl. Med. 120:46–54, 1974.
R.F. Spark, J. Pallotta, F. Naftolin, and R. Clemens, Galactorrhea—amenorrhea syndromes: Etiology and treatment, Ann. Intern. Med. 84:532–537, 1976.
M.O. Thorner, A.S. McNeilly, C. Hagan, and G.M. Besser, Long-term treatment of galactorrhea and hypogonadism with bromocriptine, Br. Med. J. 2:419–422, 1974.
E. Del Pozo, L. Varga, H. Wyss, G. Tolis, H. Friesen, R. Wenner, L. Vetter, and A. Uettwiler, Clinical and hormonal response to bromocriptine (CB 154) in the galactorrhea syndromes, J. Clin. Endocrinol. Metab. 39:18–26, 1974.
M.A. Galconer and M.A. Stafford-Bell, Visual failure from pituitary and parasellar tumours occurring with favourable outcome in pregnant women, J. Neurol. Neurosurg. Psychiatry 38:914–930, 1975.
P.B. Nelson, A.G. Robinson, D.F. Archer, and J.C. Maroon, Symptomatic pituitary tumor enlargement after induced pregnancy: Case report, J. Neurosurg. 49:283–287, 1978.
M.D. Thorner, G.M. Besser, A. Jones, J. Daice, A.E. Jones, and C.N. Shealy, Bromocriptine treatment of female infertility: Report of 13 pregnancies, Br. Med. J. 4:694–697, 1975.
R.H. Wiebe, C.B. Hammond, and S. Handwerger, Treatment of functional amenorrhea—galactorrhea with 2-bromoergocryptine, Fertil. Steril. 28:426–433, 1977.
J.T.W. Van Dalen and E.L. Greve, Rapid deterioration of visual fields during bromocriptine-induced pregnancy in a patient with a pituitary adenoma, Br. J. Ophthalmol. 61(2):729–733, 1977.
K.D. Post, B.J. Biller, L.S. Adelman, M.E. Molitch, S.M. Wolpert, and S. Reichlin, Results of selective transsphenoidal adenomectomy in women with galactorrhea—amenorrhea, J. Am. Med. Assoc. 242(2):158–162. 1979.
B. Corenblum, B.R. Webster, C.B. Mortimer, and C. Ezrin, Possible antitumour effect of bromocriptine in two patients with large prolactin-secreting pituitary adenomas, Clin. Res. 34:614, 1975 (abstract).
A.M. McGregor, M.F. Scanlon, and K. Hall, Reduction in size of a pituitary tumor by bromocriptine therapy, N. Engl. J. Med. 300:291–293, 1979.
K.D. Post and D.L. Kasdon, Sellar and parasellar lesions mimicking adenoma, in: The Pituitary Adenoma (K.D. Post, I.M.D. Jackson, and S. Reichlin, eds.), Plenum Press, New York, 1980.
C.S. McLanahan, J.H. Christy, and G.T. Tindall, Anterior pituitary function before and after trans-sphenoidal microsurgical resection of pituitary tumors, Neurosurgery 3(2): 142–145, 1978.
G. Guiot, Transsphenoidal approach in surgical treatment of pituitary adenomas: General principles and indications in non-functioning adenomas, in: Diagnosis and Treatment of Pituitary Tumors (P.O. Kohler and G.T. Ross, eds.), pp. 159–178, Excerpta Medica, Amsterdam, 1973.
L.S. Adelman and K.D. Post, Intraoperative frozen section technique for pituitary adenomas, Am. J. Surg. Pathol, February, 1979.
B.S. Ray and R.H. Patterson, Symposium on pituitary tumors. 1. Surgical treatment of pituitary adenomas, J. Neurosurg. 19:1, 1962.
B.S. Ray and R.H. Patterson, Surgical experience with chromophobe adenomas of the pituitary gland, J. Neurosurg. 34:726, 1971.
H.J. Svien and M.Y. Colby, Pituitary chromophobe adenomas: Comparative results of surgical and roentgen treatment, Behav. Neurol. 1:35, 1969.
T.P. Hayes, R.A. Davis, and A. Raventos, The treatment of pituitary chromophobe adenomas, Radiology 98:149, 1971.
S.G. Elington and W. McKissock, Pituitary adenomata: Results of combined surgery and radiotherapeutic treatment of 260 patients, Br. Med. J. 1:263, 1967.
G.E. Sheline, E.B. Boldrey, and T.L. Phillips, Chromophobe adenomas of the pituitary gland, Am. J. Roentgenol. 92:160, 1964.
S.B. Heimbach, Étude uivie de 105 cas d’adenomes chromophobes et acidophiles de l’hypophyse, dument verifies apres traitement par operation transfrontale et radiotherapie (Krayenbuhl’s series), Acta Neurochir. (Vienna) 7:101, 1959.
J.I. Neurnberger and S.R. Korey, Pituitary Chromophobe Adenomas, Springer-Verlag, New York, 1953.
W. Tonnis, D. Oberdisse, and F. Weber, Bericht ĂĽber 264 operierte Hypophysenadenome, Acta Neurochir. (Vienna) 2(3):133, 1952.
J. Hardy, Transsphenoidal surgery of hypersecreting pituitary tumors, in: Diagnosis and Treatment of Pituitary Tumors (P.O. Kohler and G.T. Ross, eds.), pp. 170–194, Excerpta Medica, Amsterdan, 1973.
J. Hardy and J.L. Vezina, Transsphenoidal neurosurgery of intracranial neoplasm, in: Advances in Neurology (R.A. Thompson and J.R. Green, eds.), pp. 261–274, Raven Press, New York, 1976.
P. Demailly, G. Guiot, and A. Oproiu, Resultats visuels des exereses d’adenomes hypophysaires par voie transsphenoidale, Arch. Ophthalmol. (Paris) 27:5, 1967.
N. Zervas and G. Mendelson, Treatment of acute hemorrhage of pituitary tumors, Lancet 1:604, 1975.
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Post, K.D. (1980). General Considerations in the Surgical Treatment of Pituitary Tumors. In: Post, K.D., Jackson, I.M.D., Reichlin, S. (eds) The Pituitary Adenoma. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3668-6_16
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DOI: https://doi.org/10.1007/978-1-4684-3668-6_16
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