Skip to main content

Long-Term Results of Transsphenoidal Surgery for the Management of Acromegaly

  • Chapter
Acromegaly

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Marie P. Sur deux cas d’acromegalic: hypertrophie singuliere non congenitale des extremites superieures, inferieures et cephalique. Rev Med Liege 1886; 6:297.

    Google Scholar 

  2. Marie P, Marinesco G. Sur 1’anatomic pathologique de l’acromegalie. Arch de Med Exper et D’Anat Path (Paris) 1891; 3:539–65.

    Google Scholar 

  3. 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.

    Google Scholar 

  4. Caton R, Paul FT. Notes on a case of acromegaly treated by operation. Br Med J 1893; 2:1421–3.

    Article  PubMed  CAS  Google Scholar 

  5. Cushing H. Partial hypophysectomy for acromegaly. Ann Surg 1909; 50:1002–17.

    Article  PubMed  CAS  Google Scholar 

  6. 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.

    Google Scholar 

  7. Hardy J, Robert F, Somma M, et al. Acromegalie-gigantisme: traitement chirurgical par exerese transsphenoidal de l’adenome hypophysaire. Neurochirurgie 1973; 19:1–184.

    Google Scholar 

  8. 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.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. 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.

    Google Scholar 

  11. 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.

    Google Scholar 

  12. 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.

    Google Scholar 

  13. Giovanelli MA, Motti EDF, Paracchi A, et al. Treatment of acromegaly by transsphenoidal microsurgery. J Neurosurg 1976; 44:677–86.

    Article  PubMed  CAS  Google Scholar 

  14. 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.

    Google Scholar 

  15. 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.

    Google Scholar 

  16. Wilson CB. A decade of pituitary microsurgery. The Herbert Olivecrona lecture. J Neurosurg 1984; 61:814–33.

    Article  PubMed  CAS  Google Scholar 

  17. Zervas NT, Martin JB, Management of hormone-secreting pituitary adenomas. N Engl J Med 1980; 302:210–4.

    Article  PubMed  CAS  Google Scholar 

  18. 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.

    Article  PubMed  CAS  Google Scholar 

  19. 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.

    Article  PubMed  CAS  Google Scholar 

  20. 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.

    Article  PubMed  CAS  Google Scholar 

  21. 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.

    Article  PubMed  CAS  Google Scholar 

  22. Abboud CF, Laws ER Jr. Clinical endocrinological approach to hypothalamic-pituitary disease. J Neurosurg 1979; 51:271–91.

    Article  PubMed  CAS  Google Scholar 

  23. Balagura S, Derome P, Guiot G. Acromegaly: analysis of 132 cases treated surgically. Neurosurgery 1981; 8:413–6.

    Article  PubMed  CAS  Google Scholar 

  24. 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.

    Article  PubMed  CAS  Google Scholar 

  25. Ciric IS, Tarkington J. Transsphenoidal microsurgery. Surg Neurol 1974; 2:207–12.

    PubMed  CAS  Google Scholar 

  26. 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.

    Google Scholar 

  27. 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.

    Google Scholar 

  28. Garcia-Uria J, del Pozo JM, Bravo G. Functional treatment of acromegaly by transsphenoidal microsurgery. J Neurosurg 1978; 49:36–40.

    Article  PubMed  CAS  Google Scholar 

  29. 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.

    Google Scholar 

  30. 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.

    CAS  Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. 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.

    Google Scholar 

  33. Laws ER Jr, Fode NC, Redmond MJ. Transsphenoidal surgery following unsuccessful prior therapy. J Neurosurg 1985; 63:823–9.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  CAS  Google Scholar 

  35. Ludecke DK, Saeger W, William T. Effectiveness of microsurgery in acromegaly. Study of 210 cases. Period Biol 1983; 85:59–66.

    Google Scholar 

  36. Teasdale G. Surgical management of pituitary adenoma. Clin Endocrinol Metab 1983; 12:789–823.

    Article  PubMed  CAS  Google Scholar 

  37. Sang H, Wilson CB, Tyrrell JB. Transsphenoidal microhypophysectomy in acromegaly. J Neurosurg 1977; 47:840–52.

    Article  Google Scholar 

  38. Williams RA, Jacobs HS, Kurtz AB, et al. The treatment of acromegaly with special reference to transsphenoidal hypophysectomy. Q J Med 1975; 79–98.

    Google Scholar 

  39. 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.

    Google Scholar 

  40. Sheline GE, Goldberg MB, Feldman R. Pituitary irradiation for acromegaly. Radiology 1961; 76:70–5.

    Google Scholar 

  41. Wass JAH, Thorner MO, Morris DV, et al. Long-term treatment of acromegaly with bromocriptine. Br Med J 1977; 1:875–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Plenum Press, New York

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1913-9_24

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9064-3

  • Online ISBN: 978-1-4613-1913-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics