伽玛刀治疗侵袭性垂体腺瘤手术后残余肿瘤的效果

Effect of gamma knife in treating residual tumors after surgery for invasive pituitary adenoma

通过外科手术完全切除侵袭性垂体瘤(aggressive pituitary tumour,APT)具有极高的手术难度,强行完全切除可能会产生很大的风险。为了保留神经功能、确保手术的安全性以及减少并发症,APT术后往往会有肿瘤残余。残余肿瘤可以接受立体定向放射外科(stereotactic radiosurgery,SRS)治疗,特别是其中的伽玛刀立体定向放射外科(gamma knife stereotactic radiosurgery,GKRS)。本文针对GKRS作为治疗APT术后残余肿瘤的一种重要手段,对其必要性、有效性、安全性以及应用前景等进行综述。

Complete surgical removal of invasive pituitary tumors(APT)is extremely difficult,and forced complete removal may pose significant risks.In order to preserve neural function,ensure the safety of surgery,and reduce complications,tumor residues often occur after APT.Residual tumors can be treated with stereotactic radiosurgery(SRS),especially gamma knife stereotactic radiosurgery(GKRS).This article reviews the necessity,effectiveness,safety,and application prospects of GKRS as an important method for treating residual tumors after APT.