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作者回顾性地分析了1972～1991年138例垂体腺瘤放射治疗的结果,70例为无功能腺癌,50例为临床症状或生化指标证实生长激素过度分泌的腺瘤,11例为泌乳素瘤,7例有ACTH过度分泌所致的柯兴氏综合征。由于内科原因不能手术及泌乳素瘤单纯药物治疗不能控制而首选放疗共16例。术后放疗的指征是:术中、CT/MR疑有残留者或术后持续激素过度分泌者。12％病人由于单纯手术后局部复发再治。全部病人治疗选用42MV-X线治疗或直线加速器6MV-X线,按TPS计划治疗,野大小从
The authors retrospectively analyzed the results of radiotherapy for 138 cases of pituitary adenoma from 1972 to 1991. 70 cases were non-functioning adenocarcinomas, 50 cases were adenomas with clinical symptoms or biochemical markers confirming excessive secretion of growth hormone, and 11 cases were prolactin. Tumor, 7 cases of Cushing’s syndrome caused by excessive secretion of ACTH. Because of medical reasons, surgery and prolactinoma alone drug treatment can not be controlled but the first choice of radiation therapy in a total of 16 cases. The indications for postoperative radiotherapy are: intraoperative, CT/MR suspected residual or postoperative persistent hormone hypersecretion. Twelve percent of patients retreated due to local recurrence after surgery alone. All patients were treated with 42MV-X therapy or linear accelerator 6MV-X line, treated according to TPS plan, the size of the wild from