This study aims to assess the effect of endoscopic endonasal transsphenoidal surgery (EETSS) of hemorrhagic pituitary macroadenoma (HPMA).We retrospectively reviewed 52 cases with HPMA collected from the Xijing Hospital from April 1995 to April 2009. There were 39 males and 13 females, ranging in age from 18 to 79 years (average 51.6 years). Patients presented with headache or acute ophthalmological symptoms after adenoma hemorrhage. Computed tomography (CT) scan and magnetic resonance imaging (MRI) showed pituitary macroadenoma with hemorrhage in all cases. Twenty-eight adenomas showed marked suprasellar extension, 19 showed moderate extension, and another 5 showed slight extension. All patients were promptly treated by emergency EETSS, usually within 24 h after hospitalization.Total removal of tumor was achieved in 46 cases (88.5

作者：Xiang, Zhang；Wei, Zhang；Luo-an, Fu；Jin-xiang, Cheng；Bo-lin, Liu；Wei-dong, Cao；Zhou, Fei；Jian-ning, Zhang；Wei-ping, Liu；Hai-ning, Zhen

来源：Annals of surgical oncology 2011 年 18卷 1期