title: [Identification and management of intra-operative suspicious tissues in 20 transsphenoidal surgery cases].
abstract: OBJECTIVE
  To determine appropriate protocols for the identification and management of intra operative suspicious tissues during transsphenoidal surgery.
  
  
  METHODS
  Clinical data and pathological reports of 20 patients with intra-operative suspicious tissues during transsphenoidal surgeries were analyzed retrospectively. The methods for discriminating between adenoma and normal pituitary tissues were reviewed.
  
  
  RESULTS
  The postoperative pathological reports revealed that adenoma and normal pituitary tissues coexisted in 9 samples, while 5 samples were identified as normal pituitary tissues, 2 as adenoma tissues, and 4 as other tissues. Adenomas were distinguished from normal pituitary tissues on the basis of intra-operative appearance, texture, blood supply and possible existence of boundary.
  
  
  CONCLUSIONS
  If decisions are difficult to made during surgeries from the appearance of the suspicious tissues, pathological examinations are advised as a guidance for the next steps.
authors.affiliation: Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
authors.forename: Jun-Feng
authors.initials: JF
authors.lastname: Liu
authors.forename: Chang-Shu
authors.initials: CS
authors.lastname: Ke
authors.forename: Xi
authors.initials: X
authors.lastname: Chen
authors.forename: Yu
authors.initials: Y
authors.lastname: Xu
authors.forename: Hua-Qiu
authors.initials: HQ
authors.lastname: Zhang
authors.forename: Juan
authors.initials: J
authors.lastname: Chen
authors.forename: Chao
authors.initials: C
authors.lastname: Gan
authors.forename: Chao-Xi
authors.initials: CX
authors.lastname: Li
authors.forename: Ting
authors.initials: T
authors.lastname: Lei
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D013507:Endocrine Surgical Procedures; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013101:Sphenoid Sinus / Q000601:surgery; D055815:Young Adult