一位40歲女性,因車禍接受頭部電腦斷層攝影檢查,發現腦下垂體部位有空蝶鞍(empty sella)現象。她目前月經正常,飯前血糖90 mg/dL,PR 80/min,BP 130/80 mmHg,free T4 1.2 ng/dL(normal range 0.8~1.8 ng/dL),TSH 1.0μIU/mL(normal range 0.1~2.0 μIU/mL),early morning cortisol 15 μg/dL(normal range 8~18 μg/dL)。下列處置何者最恰當?
A經蝶鞍腦下垂體手術(transsphenoid surgery)
B放射治療(radiation therapy)
C藥物(bromocriptine therapy)
D說明病情使病患放心(reassurance)正確答案
答案與詳解
