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Use of the Leksell Gamma Knife in the Treatment of Prolactinoma Patients
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SYSNO ASEP 0337772 Druh ASEP J - Článek v odborném periodiku Zařazení RIV J - Článek v odborném periodiku Poddruh J Článek ve WOS Název Use of the Leksell Gamma Knife in the Treatment of Prolactinoma Patients Tvůrce(i) Ježková, J. (CZ)
Hána, V. (CZ)
Kršek, M. (CZ)
Weiss, V. (CZ)
Vladyka, V. (CZ)
Liščák, R. (CZ)
Vymazal, J. (CZ)
Pecen, Ladislav (UIVT-O) RID, SAI, ORCID
Marek, J. (CZ)Zdroj.dok. Clinical Endocrinology - ISSN 0300-0664
Roč. 70, č. 5 (2009), s. 732-741Poč.str. 10 s. Jazyk dok. eng - angličtina Země vyd. GB - Velká Británie Klíč. slova prolactinoma ; Leksell gamma knife ; time to prolactin normalization analysis Vědní obor RIV FB - Endokrinologie, diabetologie, metabolizmus, výživa CEZ AV0Z10300504 - UIVT-O (2005-2011) UT WOS 000264563800012 EID SCOPUS 63149148886 DOI 10.1111/j.1365-2265.2008.03384.x Anotace Pharmacological with dopaminergic agonists (DA), surgical and radiation treatments are the choices for prolactinomas. We describe 12-year experience in treating prolactinomas with the Leksell gamma knife (LGK). We followed 35 prolactinoma patients treated with LGK. Prior to LGK patients were treated with DA and 29% underwent neurosurgery. Indications for LGK were: DA intolerance (31%), DA resistance (46%) and efforts to reduce the DA dose (23%). Pituitary function was monitored regularly at 6m intervals. Normoprolactinaemia was achieved in 37% of the patients who discontinued DA and in 43% of patients who continued DA treatment after LGK irradiation. The median time to prolactin normalization after discontinuation of DA was 96m. After LGK the prolactinoma stopped growing or decreased in size in all but one patient (97%). LGK treatment resulted in normoprolactinaemia in 80% of the patients, all of whom had failed pharmacological treatment due to DA resistance or intolerance. Pracoviště Ústav informatiky Kontakt Tereza Šírová, sirova@cs.cas.cz, Tel.: 266 053 800 Rok sběru 2010
Počet záznamů: 1