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Jules Hardy showed that it was possible to selectively remove a hormone-producing microadenoma
Ninety years after Schloffer a pure endoscopic procedure was into pituitary surgery
Relieve mass effect aim at decompression of nervous structures
Normalize hypersecretion is only possible by the transsphenoidal approach
Later treatment is based on the examination of the surgical specimen
The transsphenoidal approach can be used in a vast majority of the cases
Large size of the tumor is not a problem as long it is situated directly above the sella turcica .The suprasellar portion of the tumor will descend into the sella when the intrasellar part is removed...
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