[ XXXX : experience with combined operative and radiotherapy and problems of hormone substitution (author's transl)].

@entity1 @entity227 @entity428 @entity5 @entity2339 @entity976
@entity976 , primarily a @entity5 , is associated with a variety of serious problems due to @entity5 localization. @entity5 during surgery is difficult and total resection can rarely be achieved. Growth of the remaining @entity5 continues and symptoms of @entity428 , further @entity227 and hormonal disturbances reappear. However, conservative operation in conjunction with radical irradiation shows good results as regards @entity5 regression and survival with satisfactory quality of life. Irradiation with 50 Gy on average was performed in 5 out of 6 @entity1 with remaining @entity5 or @entity5 recurrence, and satisfactory results were obtained. In all cases @entity5 size regressed. Endocrine disturbances could be ascertained by the combined LHRH-TRH-insulin test and the clinical picture. In nearly every case there was finally a complete lack of hormones of the @entity2339 . Substitution of various hormones became necessary in all cases. Meticulous surveillance of @entity1 still undergoing developmental maturation is mandatory. All six @entity1 are well and lead a nearly normal life.
