{"id":7496,"date":"2020-05-21T22:22:37","date_gmt":"2020-05-21T22:22:37","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7496"},"modified":"2026-01-08T19:49:51","modified_gmt":"2026-01-08T19:49:51","slug":"pituitary-tumors","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pituitary-tumors\/","title":{"rendered":"Pruebas para Diagnosticar Tumores Hipofisarios Secretores de Hormonas"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Los adenomas hipofisarios representan aproximadamente el 15% de los tumores intracraneales. El manejo de estos tumores benignos requiere el diagn\u00f3stico de la enfermedad intraselar espec\u00edfica y un tratamiento integral y multidisciplinario de los efectos de masa local y las endocrinopat\u00edas perif\u00e9ricas. Dado que los tumores pueden producir diferentes hormonas, sus consecuencias y manejo var\u00edan ampliamente.<!--more--><\/p>\n<p><strong>Pruebas para Diagnosticar Tumores Hipofisarios Secretores de Hormonas<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 23.0593%;\"><strong>Tumor o Enfermedad<\/strong><\/td>\n<td style=\"width: 36.9293%;\"><strong>Prueba<\/strong><\/td>\n<td style=\"width: 40.0113%;\"><strong>Resultados que requieren evaluaci\u00f3n adicional<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 23.0593%;\">Prolactinoma<\/td>\n<td style=\"width: 36.9293%;\">Medici\u00f3n del nivel de prolactina en suero<\/td>\n<td style=\"width: 40.0113%;\">Nivel de prolactina elevado<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 23.0593%;\" rowspan=\"2\">Acromegalia<\/td>\n<td style=\"width: 36.9293%;\">Nivel s\u00e9rico de factor de crecimiento s\u00edmil insulina 1 (IGF-1)<\/td>\n<td style=\"width: 40.0113%;\">Nivel de IGF-1 ajustado por edad elevado<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 36.9293%;\">Prueba oral de tolerancia a la glucosa (75 g de glucosa) con hormona de crecimiento medida a 0, 30, y 60 min<\/td>\n<td style=\"width: 40.0113%;\">Nivel de hormona del crecimiento &gt;0,4 \u03bcg\/litro con el uso de un ensayo ultrasensible<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 23.0593%;\" rowspan=\"4\">Enfermedad de Cushing<\/td>\n<td style=\"width: 36.9293%;\">Medici\u00f3n de cortisol libre en orina de 24 horas<\/td>\n<td style=\"width: 40.0113%;\">Nivel elevado de cortisol libre en orina en al menos dos pruebas<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 36.9293%;\">Medici\u00f3n de cortisol salival a medianoche<\/td>\n<td style=\"width: 40.0113%;\">Nivel elevado de cortisol salival libre<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 36.9293%;\">Medici\u00f3n de cortisol en plasma a las 8 a.m., despu\u00e9s de la administraci\u00f3n de dexametasona (1 mg) a las 11 p.m.<\/td>\n<td style=\"width: 40.0113%;\">Fracaso para suprimir el nivel de cortisol a &lt;1,8 \u03bcg\/dl<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 36.9293%;\">Medici\u00f3n de corticotropina s\u00e9rica<\/td>\n<td style=\"width: 40.0113%;\">Nivel bajo de corticotropina sugiere adenoma suprarrenal; muy alto nivel puede indicar fuente de corticotropina ect\u00f3pica<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 23.0593%;\">Tumor secretor de tirotropina<\/td>\n<td style=\"width: 36.9293%;\">Medici\u00f3n de tirotropina en suero, medici\u00f3n de T4 libre<\/td>\n<td style=\"width: 40.0113%;\">Nivel de T4 libre normal o aumentado con tirotropina medible puede sugerir tumor secretor de tirotropina<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Melmed S. Pituitary-Tumor Endocrinopathies. N Engl J Med. 2020;382(10):937\u2010950. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32130815\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Borg A, Jaunmuktane Z, Dorward N. Tumors of the Neurohypophysis: One Unit&#8217;s Experience and Literature Review. World Neurosurg. 2020;134:e968\u2010e978. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31734425\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 15, 2020.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los adenomas hipofisarios representan aproximadamente el 15% de los tumores intracraneales. El manejo de estos tumores benignos requiere el diagn\u00f3stico de la enfermedad intraselar espec\u00edfica y un tratamiento integral y multidisciplinario de los efectos de masa local y las endocrinopat\u00edas perif\u00e9ricas. Dado que los tumores pueden producir diferentes hormonas, sus consecuencias y manejo var\u00edan ampliamente.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[2165,2185,2186,2188,158,2167,677,2166,2187,269,745,744],"class_list":["post-7496","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-diagnose","tag-diagnosticar","tag-hipofisarios","tag-hormonas","tag-hormone","tag-pituitary","tag-pruebas","tag-secreting","tag-secretores","tag-testing","tag-tumores","tag-tumors"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7496","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=7496"}],"version-history":[{"count":9,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7496\/revisions"}],"predecessor-version":[{"id":9369,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7496\/revisions\/9369"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=7496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=7496"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=7496"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}