Complete evaluation of pituitary tumours in a single tertiary care institution.

Abstract:

INTRODUCTION:We retrospectively evaluated all patients with pituitary tumours treated in our department from 1/1/1997 to 01/11/2014. PATIENTS AND METHODS:Two hundred and fifteen patients (124 females, 91 males, mean age 50.9 years) were treated because of pituitary tumours. All patients underwent basal hormonal analysis and when required dynamic testing in order to check for hormonal activity. Pituitary masses were divided into groups concerning their hormonal status and were further classified according to gender, age at diagnosis, tumour size, and the development of postoperative pituitary insufficiency when neurosurgical intervention was conducted. RESULTS:One hundred and twenty-one patients had hormonally inactive tumours (non-functional adenomas; 56.3%), 57 prolactinomas (26.5%), 17 growth hormone secreting adenomas (7.9%), 16 Cushing's disease (7.4%), and 4 craniopharyngiomas (1.9%). Tumours with maximum size <1 cm (microadenomas) were detected in 62 patients (28.8%) and ≥1 cm (macroadenomas) in 153 (71.2%) of all cases (rate 1:2.5). Ninty eight patients (45.6%) had surgery (87 transsphenoidal and 11 transcranial), of this group 34 with hormonally active tumours (37.8% of the 90 patients of this subcohort). Indications for surgery were an increased risk or manifestation of chiasma syndrome and clinical symptoms due to hormonal hypersecretion. Complete [32 cases (32.6%)] or partial [33 cases (33.7%)] postoperative insufficiency in minimum one pituitary axis was present in 65/98 (66.3%) of the operated patients. CONCLUSIONS:Pituitary adenoma prevalence is rising due to widely available imaging procedures. The majority of the tumours in our cohort were macroadenomas and hormonally inactive. Tumour extirpation via the transsphenoidal or transcranial route resulted in functional pituitary impairment of variable extent in 2/3 of the patients.

journal_name

Endocrine

journal_title

Endocrine

authors

Askitis D,Tsitlakidis D,Müller N,Waschke A,Wolf G,Müller UA,Kloos C

doi

10.1007/s12020-018-1570-z

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

255-262

issue

2

eissn

1355-008X

issn

1559-0100

pii

10.1007/s12020-018-1570-z

journal_volume

60

pub_type

杂志文章
  • The role of the tumour microenvironment in the angiogenesis of pituitary tumours.

    abstract:PURPOSE:Angiogenesis has been studied in pituitary neuroendocrine tumours (PitNETs), but the role of the tumour microenvironment (TME) in regulating PitNET angiogenesis remains unknown. We aimed to characterise the role of TME components in determining the angiogenetic PitNET profile, focusing on immune cells and tumou...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-020-02478-z

    authors: Marques P,Barry S,Carlsen E,Collier D,Ronaldson A,Dorward N,Grieve J,Mendoza N,Nair R,Muquit S,Grossman AB,Korbonits M

    更新日期:2020-12-01 00:00:00

  • Adrenal crises: perspectives and research directions.

    abstract::Adrenal crises are life-threatening complications of adrenal insufficiency. These events have an estimated incidence of between 5 and 10  adrenal crises/100 patient years and are responsible for some of the increased morbidity and excess mortality experienced by patients with adrenal insufficiency. Treatment involves ...

    journal_title:Endocrine

    pub_type: 杂志文章,评审

    doi:10.1007/s12020-016-1204-2

    authors: Rushworth RL,Torpy DJ,Falhammar H

    更新日期:2017-02-01 00:00:00

  • Changes of serum Mir-217 and the correlation with the severity in type 2 diabetes patients with different stages of diabetic kidney disease.

    abstract::The aim of this study is to investigate the correlation between serum microRNA-217 and the severity of diabetic kidney disease determined by albuminuria. Four hundred ninety five type 2 diabetes patients were divided into three groups: normoalbuminuric group, microalbuminuric group, and macroalbuminuric group. Serum m...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-016-1069-4

    authors: Shao Y,Ren H,Lv C,Ma X,Wu C,Wang Q

    更新日期:2017-01-01 00:00:00

  • The effect of the alendronate on OPG/RANKL system in differentiated primary human osteoblasts.

    abstract::Alendronate is a well-established treatment for osteoporosis and suppresses bone resorption by a direct effect on osteoclasts and their precursors. The effect of alendronate on osteoclasts is produced, at least in part, by the receptor activator of nuclear factor kappaB ligand (RANKL) and the osteoprotegerin (OPG) syn...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-009-9306-8

    authors: Enjuanes A,Ruiz-Gaspà S,Peris P,Ozalla D,Alvarez L,Combalia A,Martínez de Osaba MJ,Monegal A,Pares A,Guañabens N

    更新日期:2010-04-01 00:00:00

  • An oral high dose of cholecalciferol restores vitamin D status in deficient postmenopausal HIV-1-infected women independently of protease inhibitors therapy: a pilot study.

    abstract::The best repletion and maintenance dosing regimens with cholecalciferol in vitamin D-deficient HIV-1 patients remain unknown. Protease inhibitors (PIs) have been shown to inhibit vitamin D 1α- and 25α-hydroxylation in hepatocyte and monocyte cultures. We therefore evaluated the effect of a single high dose of cholecal...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-015-0693-8

    authors: Pepe J,Mezzaroma I,Fantauzzi A,Falciano M,Salotti A,Di Traglia M,Diacinti D,Biondi P,Cipriani C,Cilli M,Minisola S

    更新日期:2016-07-01 00:00:00

  • Co-existence of glucagonoma with recurrent insulinoma in a patient with multiple endocrine neoplasia-type 1 (MEN-1).

    abstract::Multiple endocrine neoplasia type 1 (MEN1) is an autosomal dominant disorder characterized by tumors of the parathyroid glands, the anterior pituitary, and the endocrine pancreas. Our patient was a 58-year-old man who manifested typical features of MEN-1 including primary hyperparathyroidism, lung carcinoid, and lipom...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-009-9183-1

    authors: Nishiuchi T,Imachi H,Murao K,Fujiwara M,Muraoka T,Kikuchi F,Nishiuchi Y,Kushida Y,Haba R,Ishida T

    更新日期:2009-08-01 00:00:00

  • Sleep disorders and cognitive dysfunction in acromegaly.

    abstract:PURPOSE:In the general population, sleep disorders are associated with an increased risk of cognitive impairment. The prevalence of sleep disorders, such as sleep apnea, in acromegalic patients is higher than in the general population, and they may have additional risk of cognitive impairment due to acromegaly treatmen...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-019-02061-1

    authors: Wennberg A,Lorusso R,Dassie F,Benavides-Varela S,Parolin M,De Carlo E,Fallo F,Mioni R,Vettor R,Semenza C,Maffei P

    更新日期:2019-12-01 00:00:00

  • Treatment of adult growth hormone deficiency with human recombinant growth hormone: an update on current evidence and critical review of advantages and pitfalls.

    abstract::Adult-onset growth-hormone (GH) deficiency (GHD) is a rare disorder, which most commonly results from pituitary or peripituitary tumors and their treatment, and is characterized by alterations in body composition, carbohydrate and lipid metabolism, bone mineral density, cardiovascular risk profile and quality of life,...

    journal_title:Endocrine

    pub_type: 杂志文章,评审

    doi:10.1007/s12020-017-1492-1

    authors: Ramos-Leví AM,Marazuela M

    更新日期:2018-05-01 00:00:00

  • Long-term remission following antithyroid drug withdrawal in patients with Graves' hyperthyroidism: parameters with prognostic value.

    abstract:OBJECTIVE:To assess the predictive value of some clinical and biochemical parameters, and of the +49 A/G polymorphism of the CTLA-4 gene, for long-term remission following the withdrawal of antithyroid drugs before starting antithyroid drug therapy. STUDY DESIGN:Observational, prospective and longitudinal study. METH...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-018-1785-z

    authors: García-Mayor RV,Álvarez-Vázquez P,Fluiters E,Valverde D,Andrade A

    更新日期:2019-02-01 00:00:00

  • Influence of short- and long-term treadmill exercises on levels of ghrelin, obestatin and NPY in plasma and brain extraction of obese rats.

    abstract::This study aims to clarify the effects of exercise on levels of appetite regulatory hormones in plasma and hypothalamus of obese rats. Diet-induced obese rats undergo short- (40 min) and long-term (40 min, 5 days/week for 8 weeks) exercises. The rats ran at a speed of 20 m/min on a 5 degrees slope treadmill. Rats unde...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-008-9056-z

    authors: Wang J,Chen C,Wang RY

    更新日期:2008-02-01 00:00:00

  • MRNA expression of Phex in mice and rats: the effect of low phosphate diet.

    abstract::Phex is the gene whose mutation is the cause of X-linked hypophosphatemia in humans and mice. The organs expressing Phex in normal animals, and their possible sensitivity to stimulation by low phosphate diets, are unknown. In this study, Phex expression was measured in 6-wk-old normal B6C3H male and female mice and in...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/ENDO:13:1:81

    authors: Meyer MH,Meyer RA Jr

    更新日期:2000-08-01 00:00:00

  • Development of a metabolic syndrome severity score and its association with incident diabetes in an Asian population-results from a longitudinal cohort in Singapore.

    abstract:PURPOSE:Metabolic syndrome (MetS) is a constellation of clinical factors that indicates elevated risk of diabetes. It is diagnosed based on three or more abnormalities in its components. This does not take into account that MetS can likely present as a continuum of risk. We aim to develop a MetS severity score and asse...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-019-01970-5

    authors: Low S,Khoo KCJ,Wang J,Irwan B,Sum CF,Subramaniam T,Lim SC,Wong TKM

    更新日期:2019-07-01 00:00:00

  • Long-term safety of long-acting octreotide in patients with diabetic retinopathy: results of pooled data from 2 randomized, double-blind, placebo-controlled phase 3 studies.

    abstract:PURPOSE:Octreotide (OCT) has been successfully used for treatment of acromegaly and neuroendocrine tumors for more than 30 years. However, long-term safety of OCT has not been documented in placebo-controlled setting. This present analysis pooled safety data from two similarly-designed, randomized, and placebo-controll...

    journal_title:Endocrine

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s12020-017-1448-5

    authors: Pivonello R,Muscogiuri G,Holder G,Paul M,Sarp S,Lesogor A,Jordaan P,Eisinger J,Colao A

    更新日期:2018-04-01 00:00:00

  • Differential secretion of chicken growth hormone variants after growth hormone-releasing hormone stimulation in vitro.

    abstract::Variants of growth hormone (GH) are present in most vertebrates. Chicken GH (cGH) undergoes posttranslational modifications that contribute to its structural diversity. Although the 22-kDa form of GH is the most abundant, some other variants have discrete bioactivities that may not be shared by others. The proportion ...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/ENDO:17:2:91

    authors: Martínez-Coria H,López-Rosales LJ,Carranza M,Berumen L,Luna M,Arámburo C

    更新日期:2002-03-01 00:00:00

  • Metabolic and anatomic characteristics of benign and malignant adrenal masses on positron emission tomography/computed tomography: a review of literature.

    abstract::PET/CT with (18)F-fluorodeoxyglucose (FDG) or using different radiocompounds has proven accuracy for detection of adrenal metastases in patients undergoing cancer staging. It can assist the diagnostic work-up in oncology patients by identifying distant metastases to the adrenal(s) and defining oligometastatic disease ...

    journal_title:Endocrine

    pub_type: 杂志文章,评审

    doi:10.1007/s12020-014-0440-6

    authors: Kandathil A,Wong KK,Wale DJ,Zatelli MC,Maffione AM,Gross MD,Rubello D

    更新日期:2015-05-01 00:00:00

  • Serum anti-mullerian hormone and all-cause mortality in men.

    abstract::Several studies have examined an association of anti-mullerian hormone to various risk factors for mortality, however, to the best of our knowledge, no study has reported a direct relationship between anti-mullerian hormone and all-cause mortality. Therefore, we examined the relationship between baseline anti-mulleria...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-016-1071-x

    authors: Qayyum R,Akbar S

    更新日期:2016-10-01 00:00:00

  • Differential mRNA expression of alpha and beta estrogen receptor isoforms and GnRH in the left and right side of the preoptic and anterior hypothalamic area during the estrous cycle of the rat.

    abstract::Asymmetric mRNA expression was found in preoptic anterior and hypothalamic anterior areas of the two estrogen receptor isoforms and the gonadotropin-releasing hormone. On the right side of these areas, estrogen receptor alpha mRNA expression reached its peak on estrus day, while on the left side the peak was reached o...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/ENDO:21:3:251

    authors: Arteaga-López PR,Domínguez R,Cerbón MA,Mendoza-Rodríguez CA,Cruz ME

    更新日期:2003-08-01 00:00:00

  • Clinical testing results and high patient satisfaction with a new needle-free device for growth hormone in young children.

    abstract::Fifty children ages 4-10 yr with type 1 diabetes mellitus volunteered to participate in a study to evaluate and compare a new needle-free device developed for growth hormone delivery. Children answered descriptive questions related to nervousness and worry, hurt or pain, redness or bleeding, and stinging and wetness. ...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/ENDO:15:1:015

    authors: Silverstein JH,Murray FT,Malasanos T,Myers S,Johnson SB,Frye K,Grossman M

    更新日期:2001-06-01 00:00:00

  • Evaluation of oxidative status in patients with hyperthyroidism.

    abstract::Data on the antioxidant levels enzyme in patients with hyperthyroidism are limited and conflicting. Therefore, the objective of this study was to evaluate the oxidative status using an automated method in patients with hyperthyroidism. Thirty-six subjects with hyperthyroidism and 30 healthy controls were enrolled in t...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-011-9472-3

    authors: Aslan M,Cosar N,Celik H,Aksoy N,Dulger AC,Begenik H,Soyoral YU,Kucukoglu ME,Selek S

    更新日期:2011-10-01 00:00:00

  • The association of obesity with hearing thresholds in women aged 18-40 years.

    abstract::An elevation in hearing thresholds and decrease in hearing sensitivity in adults, particularly due to aging, are quite common. Recent studies have shown that, apart from aging, various other factors also play a role in auditory changes. Studies on the association of hearing loss (HL) with obesity are limited in advanc...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-015-0755-y

    authors: Üçler R,Turan M,Garça F,Acar İ,Atmaca M,Çankaya H

    更新日期:2016-04-01 00:00:00

  • Reduced DNA methylation of FKBP5 in Cushing's syndrome.

    abstract::FKBP5 encodes a co-chaperone of HSP90 protein that regulates intracellular glucocorticoid receptor sensitivity. When it is bound to the glucocorticoid receptor complex, cortisol binds with lower affinity to glucocorticoid receptor. Cushing's syndrome is associated with memory deficits, smaller hippocampal volumes, and...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-016-1083-6

    authors: Resmini E,Santos A,Aulinas A,Webb SM,Vives-Gilabert Y,Cox O,Wand G,Lee RS

    更新日期:2016-12-01 00:00:00

  • Dihydromyricetin improves skeletal muscle insulin sensitivity by inducing autophagy via the AMPK-PGC-1α-Sirt3 signaling pathway.

    abstract::Insulin resistance in skeletal muscle is a key feature in the pathogenesis of type 2 diabetes (T2D) that often manifests early in its development. Pharmaceutical and dietary strategies have targeted insulin resistance to control T2D, and many natural products with excellent pharmacological properties are good candidat...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-015-0599-5

    authors: Shi L,Zhang T,Zhou Y,Zeng X,Ran L,Zhang Q,Zhu J,Mi M

    更新日期:2015-11-01 00:00:00

  • Molecular analysis of PROP1, POU1F1, LHX3, and HESX1 in Turkish patients with combined pituitary hormone deficiency: a multicenter study.

    abstract::To investigate the specific mutations in PROP1, POU1F1, LHX3, and HESX1 genes in patients with combined pituitary hormone deficiency (CPHD) in Turkey. Seventy-six patients with CPHD were included in this study. Based on clinical, hormonal, and neuro-radiological data, relevant transcription factor genes were evaluated...

    journal_title:Endocrine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s12020-014-0498-1

    authors: Baş F,Uyguner ZO,Darendeliler F,Aycan Z,Çetinkaya E,Berberoğlu M,Şiklar Z,Öcal G,Darcan Ş,Gökşen D,Topaloğlu AK,Yüksel B,Özbek MN,Ercan O,Evliyaoğlu O,Çetinkaya S,Şen Y,Atabek E,Toksoy G,Aydin BK,Bundak R

    更新日期:2015-06-01 00:00:00

  • Selective effects of 8-Br-cAMP on agonists and antagonists of the glucocorticoid receptor.

    abstract::RU486 has been reported to be a glucocorticoid receptor (GR) and a progesterone receptor (PR) antagonist. We have analysed RU486 activity on the GR in WCL-2 (CHO) cells and in COS-7 cells transiently transfected with the mouse GR and with the reporter MMTVCAT (MCAT). These cell lines do not contain any active progeste...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/BF02917442

    authors: Zhang S,Danielsen M

    更新日期:1995-01-01 00:00:00

  • Long-term remission of disseminated parathyroid cancer following immunotherapy.

    abstract:PURPOSE:Parathyroid cancer is a rare tumor associated with poor prognosis particularly when disseminated. While chemotherapy and/or radiotherapy are of no clinical value in disseminated disease, immunotherapy should be considered. SUBJECT AND RESULTS:A patient with CDC73-associated metastatic parathyroid carcinoma was...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-019-02136-z

    authors: Sarquis M,Marx SJ,Beckers A,Bradwell AR,Simonds WF,Bicalho MAC,Daly AF,Betea D,Friedman E,De Marco L

    更新日期:2020-01-01 00:00:00

  • The relationship between high-sensitivity C-reactive protein and ApoB, ApoB/ApoA1 ratio in general population of China.

    abstract::Inflammatory biomarker high-sensitivity C-reactive protein (hsCRP) is considered as a major predictor of cardiovascular events. Apolipoprotein B (ApoB) directly reflects the number of plasma atherogenic lipoproteins, and may play a major role in vascular inflammation. We aimed to assess whether an association between ...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-012-9599-x

    authors: Xu W,Li R,Zhang S,Gong L,Wang Z,Ren W,Xia C,Li Q

    更新日期:2012-08-01 00:00:00

  • Thyroxine and treatment of hypothyroidism: seven decades of experience.

    abstract::Hypothyroidism is one of the most common endocrine disorders, affecting as much as 10% of the global population. There is a rich cultural milieu of treatment history and interventions dating as far back as 2 millennia. Chinese cretins were treated with sheep thyroid in the 6th century. In 1890, transplanted animal thy...

    journal_title:Endocrine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1007/s12020-019-02006-8

    authors: Mateo RCI,Hennessey JV

    更新日期:2019-10-01 00:00:00

  • Mitogen-activated protein kinase activates human placental lactogen-B enhancer by an NF-IL6-dependent pathway.

    abstract::Computer analysis of the human placental lactogen-B (hPL-B) enhancer reveals two putative binding sites for the transcription factor NF-IL6, but the role of NF-IL6 in the regulation of the enhancer is unknown. Using gel mobility shift and supershift assays, we demonstrated that NF-IL6 binds to both enhancer sites. Tra...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/ENDO:12:1:47

    authors: Brar AK,Richards RG,Cheng YH,Richardson B,Kanda Y,Handwerger S

    更新日期:2000-02-01 00:00:00

  • Mitogen-activated protein kinase is involved in the progesterone-mediated induction of baboon glycodelin.

    abstract::In the human and non-human primate the major secretory product of the uterine glandular epithelial cells is glycodelin. The expression of glycodelin is associated with elevated progesterone levels as its production peaks during the late luteal phase of the menstrual cycle and in early pregnancy. Consistent with our pr...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1385/endo:29:1:121

    authors: Jaffe RC,Ferguson-Gottschall SD,Fazleabas AT

    更新日期:2006-02-01 00:00:00

  • Comparative analysis of glucoinsulinemic markers and proinflammatory cytokines in prepubertal children born large-versus appropriate-for gestational age.

    abstract::Children born large for gestational age (LGA) may be at risk for development of obesity and insulin resistance (IR). The reciprocal relationship of adipokines and proinflammatory cytokines is suggested to play a putative role in fine tuning of insulin secretory dynamics. To evaluate serum interleukin-6 (IL-6), tumor n...

    journal_title:Endocrine

    pub_type: 杂志文章

    doi:10.1007/s12020-014-0207-0

    authors: Cetin C,Baş F,Uçar A,Poyrazoğlu S,Saka N,Bundak R,Darendeliler F

    更新日期:2014-12-01 00:00:00