Abstract
Although acromegaly as a medical entity was described as early as 1779, it was 100 years ago in 1886 that the French neurologist Pierre Marie (1) coined the term, acromegaly, and presented the clinical details of two cases. Considerable interest in acromegaly rapidly evolved, but the pathophysiology and etiology of the disorder was not at all clear to the initial investigators. Minkowski in 1887 and subsequently Marie and Marinesco (2) all noted that enlargement of the pituitary was a constant feature in autopsied cases of acromegaly, but this was thought by some to be merely part of a generalized process resulting in hypertrophy of various glands. By 1900 pathophysiologic correlations suggested an etiologic role for pituitary hypertrophy or neoplasia, and Dean Lewis in 1905 (3) propagated the concept among the surgical community.
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References
Marie P. Sur deux cas d’acromegalic: hypertrophie singuliere non congenitale des extremites superieures, inferieures et cephalique. Rev Med Liege 1886; 6:297.
Marie P, Marinesco G. Sur 1’anatomic pathologique de l’acromegalie. Arch de Med Exper et D’Anat Path (Paris) 1891; 3:539–65.
Lewis DD. Hyperplasia of the chromophile cells of the hypophysis as the cause of acromegaly, with report of a case. Johns Hopkins Med J 1905; 16:157–64.
Caton R, Paul FT. Notes on a case of acromegaly treated by operation. Br Med J 1893; 2:1421–3.
Cushing H. Partial hypophysectomy for acromegaly. Ann Surg 1909; 50:1002–17.
Guiot G. Considerations on the surgical treatment of pituitary adenomas. In: Fahlbusch R, von Werder KVM, eds. Treatment of pituitary adenomas. Stuttgart: Georg Thieme, 1978:202–18.
Hardy J, Robert F, Somma M, et al. Acromegalie-gigantisme: traitement chirurgical par exerese transsphenoidal de l’adenome hypophysaire. Neurochirurgie 1973; 19:1–184.
Hardy J, Somma M. Acromegaly: surgical treatment by transsphenoidal microsurgical removal of the pituitary adenoma. In: Tindall GT, Collins WF, eds. Clinical management of pituitary disorders. New York: Raven Press, 1979:209–17.
Hardy J, Somma M, Vezina JL. Treatment of acromegaly: radiation or surgery? In: Morley T, ed. Current controversies in neurosurgery. Philadelphia: Saunders Co., 1976:377–91.
Ray BS, Horwith M, Mautalen C. Surgical hypophysectomy as a treatment for acromegaly. In: Astwood EB, Cassidy CE, eds. Clinical endocrinology. New York: Grune &Stratton, 1968:93–102.
Collins WF. Pituitary tumor management: an overview. In: Tindall GT, Collins WF, eds. Clinical management of pituitary disorders. New York: Raven Press, 1979:179–86.
Fukushima T, Takakura K, Sano K. Sublabial rhinoseptoplastic microsurgery for functioning pituitary adenomas: a new technique. In: Sano K, Takakura K, Fukushima T, eds. Functioning pituitary adenoma. Proceedings of the first workshop on pituitary adenomas. Tokyo, 1980:61–76.
Giovanelli MA, Motti EDF, Paracchi A, et al. Treatment of acromegaly by transsphenoidal microsurgery. J Neurosurg 1976; 44:677–86.
Laws ER Jr. Transsphenoidal microsurgery in the management of acromegaly. In: Smith JL, ed. Neuro-ophthalmology focus. New York: Masson Publishing USA, Inc., 1980:289–93.
Laws ER Jr, Randall RV, Kern EB, Abboud CF, eds. Management of pituitary adenomas and related lesions with emphasis on transsphenoidal microsurgery. New York: Appleton-Century-Crofts, 1982.
Wilson CB. A decade of pituitary microsurgery. The Herbert Olivecrona lecture. J Neurosurg 1984; 61:814–33.
Zervas NT, Martin JB, Management of hormone-secreting pituitary adenomas. N Engl J Med 1980; 302:210–4.
Asa SL, Scheithauer BW, Bilbao JM, et al. A case for hypothalamic acromegaly: a clinicopathological study of six patients with hypothalamic gangliocytomas producing growth hormone-releasing factor. J Clin Endocrinol Metab 1984; 58:796–803.
Caplan RH, Koob L, Abellera RM, Pagliara AS, Kovacs K, Randall RV. Cure of acromegaly by operative removal of an islet cell tumor of the pancreas. Am J Med 1978; 64:874.
Scheithauer BW, Kovacs K, Randall RV, Horvath E, Okazaki H, Laws ER Jr. Hypothalamic neuronal hamartoma and adenohypophyseal neuronal choristoma: their association with growth hormone adenoma of the pituitary gland. J Neuropathol Exp Neurol 1983; 42:648.
Scheithauer BW, Carpenter PC, Block B, Brazeau P. Ectopic secretion of a growth hormone-releasing factor. Report of a case of acromegaly with bronchial carcinoid tumor. Am J Med 1984; 76:605–16.
Abboud CF, Laws ER Jr. Clinical endocrinological approach to hypothalamic-pituitary disease. J Neurosurg 1979; 51:271–91.
Balagura S, Derome P, Guiot G. Acromegaly: analysis of 132 cases treated surgically. Neurosurgery 1981; 8:413–6.
Baskin DS, Boggan JE, Wilson CB. Transsphenoidal microsurgical removal of growth hormone-secreting pituitary tumors: a review of 137 cases. J Neurosurg 1982; 56:634–41.
Ciric IS, Tarkington J. Transsphenoidal microsurgery. Surg Neurol 1974; 2:207–12.
Delalande G, Derome PJ, Jedynak CP, et al. Transsphenoidal surgery in acromegaly. Results in 102 patients according to the European enquiry. In: Derome PJ, Jedynak CP, Peillon F, eds. Pituitary adenomas. Biology, physiopathology and treatment. Paris: Asclepios, 1980; 320–1.
Fahlbusch R. Surgical treatment of pituitary adenomas. In: Beardwell C, Robertson GL, eds. Clinical endocrinology 1: the pituitary. London: Butterworths International Medical Reviews, 1981:76–105.
Garcia-Uria J, del Pozo JM, Bravo G. Functional treatment of acromegaly by transsphenoidal microsurgery. J Neurosurg 1978; 49:36–40.
Giovanelli MA, Fahlbusch R, Gaini SM, et al. Surgical treatment of growth hormone-secreting microadenomas. In: Faglia G, Gio-vanelli MA, MacLeod RM, eds. Pituitary microadenomas. New York: Academic Press, 1980:427–41.
Guibout M, Jaquet P, Lissitzky J-C, Grisoli F, Vincentelli F. Resultats de l’exerese trans-sphenoidale des adenomes hypophysaires secretants. Ann Endocrinol (Paris) 1978; 39:95–106.
Laws ER Jr, Piepgras DG, Randall RV, Abboud CF. Neurosurgical management of acromegaly: results in 82 patients treated between 1972 and 1977. J Neurosurg 1979; 50:454–61.
Laws ER Jr, Randall RV, Abboud CF. Surgical treatment of acromegaly: results in 140 patients. In: Givens J, ed. Hormone-secreting pituitary tumors. Chicago: Year Book Publishing Co., 1982:225–8.
Laws ER Jr, Fode NC, Redmond MJ. Transsphenoidal surgery following unsuccessful prior therapy. J Neurosurg 1985; 63:823–9.
Ludecke D, Kautzky R, Saeger W, et al. Selective removal of hyper-secreting pituitary adenomas? An analysis of endocrine function, operative and microscopical findings in 101 cases. Acta Neurochir (Wien) 1976; 35:27–42.
Ludecke DK, Saeger W, William T. Effectiveness of microsurgery in acromegaly. Study of 210 cases. Period Biol 1983; 85:59–66.
Teasdale G. Surgical management of pituitary adenoma. Clin Endocrinol Metab 1983; 12:789–823.
Sang H, Wilson CB, Tyrrell JB. Transsphenoidal microhypophysectomy in acromegaly. J Neurosurg 1977; 47:840–52.
Williams RA, Jacobs HS, Kurtz AB, et al. The treatment of acromegaly with special reference to transsphenoidal hypophysectomy. Q J Med 1975; 79–98.
Kramer S. Indications for, and results of, treatment of pituitary tumors by external radiation. In: Kohler P0, Ross GT, eds. Diagnosis and treatment of pituitary tumors. New York: Excerpta Medica American Elsevier, 1973:217–33.
Sheline GE, Goldberg MB, Feldman R. Pituitary irradiation for acromegaly. Radiology 1961; 76:70–5.
Wass JAH, Thorner MO, Morris DV, et al. Long-term treatment of acromegaly with bromocriptine. Br Med J 1977; 1:875–8.
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© 1987 Plenum Press, New York
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Laws, E.R., Carpenter, S.M., Scheithauer, B.W., Randall, R.V. (1987). Long-Term Results of Transsphenoidal Surgery for the Management of Acromegaly. In: Robbins, R.J., Melmed, S. (eds) Acromegaly. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1913-9_24
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DOI: https://doi.org/10.1007/978-1-4613-1913-9_24
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