Poster électronique

Tous en selle pour l'hypophyse
R. Richard, C. Vandendries, F. Benoudiba, N. Hocine, G. Nasser, D. Ducreux - Le Kremlin-Bicêtre - France
Congrès 2011
Résumé
Objectifs
Etablir un guide pour choisir les séquences et la démarche diagnostique devant une anomalie hypophysaire de découverte fortuite ou non. Faire le bilan des adénomes hypophysaires typiques et atypiques, leur extension péri-sellaire et les complications locales. Connaître les différentes pathologies hypophysaires en IRM. Connaître les aspects post-thérapeutiques en imagerie.
Matériels et méthodes
Sélection iconographique d'imageries IRM hypophysaires typiques et atypiques réalisées suite : à une consultation endocrinienne spécialisée devant un bilan hormonal perturbé, des signes cliniques évocateurs d'une atteinte de la région sellaire, ou pour le bilan d'une masse hypophysaire de découverte fortuite à l'IRM ou au scanner.
Résultats
Les pathologies hypophysaires sont peu fréquentes. Le contexte clinico-biologique et l'aspect morphologique en IRM permettent le plus souvent de porter le diagnostic d'adénome hypophysaire. Les complications aiguës et les atteintes non tumorales sont rares (apoplexie, hypophysite) et doivent être reconnues pour être traitées en urgence. Le bilan des masses hypophysaires de découverte fortuite chez l'adulte repose sur l'IRM.
Conclusion
Les critères diagnostiques en imagerie d'un adénome hypophysaire doivent être connus car une prise en charge thérapeutique relativement rapide permet d'éviter les complications liées à l'hypersécrétion hormonale ou à l'envahissement tumoral. L'IRM est utile dans le diagnostic et le suivi de l'ensemble des pathologies hypophysaires, et une bonne connaissance de la sémiologie permet d'orienter le diagnostic étiologique même en cas de signes atypiques ou de complications.
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2018-02-03 10.47 :
misson

très bonne vue d'ensemble

2017-09-03 21.35 :
Ann Tabares

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