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Neurosurgery and Pituitary Resection in Cancer Patients

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Oncologic Critical Care

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Abstract

Anterior pituitary neoplasms are the third most common brain tumor in the adult population and account for 10–25% of all intracranial tumors. Signs and symptoms exhibited by individuals with an anterior pituitary neoplasm are variable and dependent upon whether the lesion is a functional or nonfunctional tumor. Surgical resection of these tumors is the mainstay of treatment, along with close management of the various hormonal alterations seen in functional tumor types. The anesthetic management of these patients is largely concerned with alterations in anatomy and physiology that are the result of functional tumors. Of primary concern to the anesthesia provider are those individuals presenting with acromegaly or Cushing’s disease. Acromegaly is particularly concerning given the changes in facial and airway features and often necessitates the use of advanced intubation techniques. Prognosis is related to tumor size with remission rates of 80–90% in patients with microadenomas and 40–70% in patients with macroadenomas.

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Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Services, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Nicole Luongo & Peter Slivinski

  2. Department of Neurosurgery, The University of Michigan MidMichigan Health System, Midland, MI, USA

    Adrian M. Smith

  3. University of Minnesota Nurse Anesthesia Program, Minneapolis, MN, USA

    Danilo Lovinaria

Authors
  1. Nicole Luongo
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  2. Peter Slivinski
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  3. Adrian M. Smith
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  4. Danilo Lovinaria
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Corresponding author

Correspondence to Nicole Luongo .

Editor information

Editors and Affiliations

  1. Department of Critical Care and Respiratory Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Joseph L. Nates

  2. Division of Anesthesiology, Critical Care and Pain Medicine, Department of Critical Care and Respiratory Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Kristen J. Price

Section Editor information

  1. Department of Anesthesiology Division of Anesthesia, Critical Care and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Garry Brydges DNP, MBA, CRNA, ACNP-BC, FAAN

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Luongo, N., Slivinski, P., Smith, A.M., Lovinaria, D. (2020). Neurosurgery and Pituitary Resection in Cancer Patients. In: Nates, J., Price, K. (eds) Oncologic Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74588-6_155

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  • DOI: https://doi.org/10.1007/978-3-319-74588-6_155

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74587-9

  • Online ISBN: 978-3-319-74588-6

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