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But let s step back just a bit and review this variant situation If you migrate all the variants, then you won t have them available for any 3x reports that may be left So, you need to make sure that these reports are the ones that are affected and none of the variants are being used in any other capacity, such as a global variant on a process chain If you look at the tables for both the 3x and the 70 variants, you will see a big difference in the storage of these two sets of values The illustrations that follow show the process of accessing the 3x variant table RSRVARIANT to see the list of variant values that are available Remember, the variants saved for the 3x version are set up in an ABAP format Therefore, these variants are coming more from the BEx Analyzer side than from the BEx Web Analyzer

Proton beam therapy is available in only very few centers worldwide, but equivalent methods ( gamma knife, linear accelerator) are more accessible The advantage of these radiotherapeutic methods is that tumor recurrence is rare A disadvantage is that the radiation effect is obtained only after several months Estrada and colleagues have also reported that external beam radiation therapy may be employed after unsuccessful transsphenoidal surgery for Cushing disease After approximately 35 years, 83 percent of their patients showed no signs of tumor growth There are a few reports, however, of a decline in memory ability after radiation treatment of all types Large extrasellar extensions of a pituitary growth must be removed by craniotomy, usually with a transfrontal approach, followed by radiation therapy Visual eld defects often remain, but some improvement in vision can be anticipated Pituitary Apoplexy This syndrome, described originally by Brougham and Adams, occurs as a result of infarction of an adenoma that has outgrown its blood supply (see also page 486) It is characterized by the acute onset of headache, ophthalmoplegia, bilateral visual loss, and in severe cases, drowsiness or coma, with either subarachnoid hemorrhage or pleocytosis and elevated protein in the CSF The CT scan or MRI shows infarction of tumor, often with hemorrhage, in and above an enlarged sella Pituitary apoplexy may threaten life unless the acute addisonian state is treated by dexamethasone (6 to 12 mg q 6 h) Blindness is the other dreaded complication If there is no improvement after 24 to 48 h or if vision is markedly affected, transnasal decompression of the sella is indicated Factors that may precipitate the necrosis or hemorrhage of a pituitary tumor are anticoagulation, pituitary function testing, radiation, bromocriptine treatment, and head trauma; most cases of necrosis, however, occur spontaneously Some pituitary adenomas have been cured by this accident Ischemic necrosis of the pituitary, followed by hypopituitarism, occurs under a wide variety of clinical circumstances, the most common being in the partum or postpartum period (Sheehan syndrome) Meningioma of the Sphenoid Ridge This tumor is situated over the lesser wing of the sphenoid bone (Fig 31-7B) As it grows, it may expand medially to involve structures in the wall of the cavernous sinus, anteriorly into the orbit, or laterally into the temporal bone Fully 75 percent of such tumors occur in women and the average age at onset is 50 years Most prominent among the symptoms are a slowly developing unilateral exophthalmos, slight bulging of the bone in the temporal region, and radiologic evidence of thickening or erosion of the lesser wing of the sphenoid bone Variants of the clinical syndrome include anosmia; oculomotor palsies; painful ophthalmoplegia (sphenoidal ssure and Tolosa-Hunt syndromes, see Table 47-2); blindness and optic atrophy in one eye, sometimes with papilledema of the other eye (Foster Kennedy syndrome); mental changes; seizures ( uncinate ts ); and increased intracranial pressure Rarely, a skull bruit can be heard over a highly vascular tumor Sarcomas arising from skull bones, metastatic carcinoma, orbitoethmoidal osteoma, benign giant-cell bone cyst, tumors of the optic nerve, and angiomas of the orbit must be considered in the differential diagnosis Scanning by CT and MRI provides the de nitive diagnosis The tumor is resectable without further injury to the optic nerve if the bone has not been invaded Meningioma of the Olfactory Groove This tumor originates in arachnoidal cells along the cribriform plate The diagnosis depends.

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