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Randomized clinical trial to compare the results of pituitary macroadenoma surgery in intraoperative guidance vs conventional fluoroscopic guidance.

Not Applicable
Conditions
Health Condition 1: null- A patient of pituitary macroadenoma usually suffers with endocrinological problems or with problems associated with mass effect of tumor on adjacent structures.
Registration Number
CTRI/2013/07/003798
Lead Sponsor
All India Institute of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

1.Pituitary macroadenoma

2.Size - From 1 cm to 4 cm

3.Proper consent available and willing for regular follow up till 3 months

Exclusion Criteria

1.Age greater than or equal to 18 years

2.Microadenoma

3.Tumor size more than 4 cm in any dimension.

4.Involving two compartments or more.

5.Tumor reaching within 6mm of foramen of monro

6.Absolute Contraindication for trans-sphenoidal surgery â?? Acute Sphenoid sinusitis

7.Re-do surgery

8.Adjuvant Radiotherapy/ Gamma knife radiosurgery

9.Radiological or intra-operative evidence of extensive bone, duramater and sinuses involvement

10.Radiological evidence of > 50% encasement of ICA circumference

11.Histopathology report other than those categorised as pituitary adenomas

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Percentage of tumor removed.Timepoint: Immediate post operative period
Secondary Outcome Measures
NameTimeMethod
1. Residual /recurrent tumor <br/ ><br>2. Assess and compare short term outcome in the two armsTimepoint: Three months.
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