title: [ACTH pituitary adenomas: neurosurgical aspects].
abstract: We report our experience with 19 cases of ACTH secreting pituitary adenomas. They were microadenomas in 50% of the cases, coming with the typical picture of the Cushing syndrome. The ACTH adenoma associated with other types of hormones tend to show visual alterations. The treatment is often surgical using the transsphenoidal approach. The results were satisfactory in most of the cases. For those in which surgical cure was not reached, radiotherapy was indicated.
authors.affiliation: Disciplina de Neurocirurgia, Universidade Federal de São Paulo, Brasil. detella.ncir@epm.br
authors.forename: Oswaldo Inácio
authors.initials: OI
authors.lastname: Tella
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Herculano
authors.forename: Rosana
authors.initials: R
authors.lastname: Delcello
authors.forename: Paulo Henrique
authors.initials: PH
authors.lastname: Aguiar
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*; D000293:Adolescent; D000324:Adrenocorticotropic Hormone / Q000378:metabolism*; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009363:Neoplasm Proteins / Q000378:metabolism*; D009367:Neoplasm Staging; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*
chemical_list: D009363:Neoplasm Proteins; D000324:Adrenocorticotropic Hormone