Diagnosis and management of prolactin-secreting pituitary adenomas: a Pituitary Society International Consensus Statement
Open accessAbstract
This Consensus Statement from an international, multidisciplinary workshop sponsored by the Pituitary Society offers evidence-based graded consensus recommendations and key summary points for clinical practice on the diagnosis and management of prolactinomas. Epidemiology and pathogenesis, clinical presentation of disordered pituitary hormone secretion, assessment of hyperprolactinaemia and biochemical evaluation, optimal use of imaging strategies and disease-related complications are addressed. In-depth discussions present the latest evidence on treatment of prolactinoma, including efficacy, adverse effects and options for withdrawal of dopamine agonist therapy, as well as indications for surgery, preoperative medical therapy and radiation therapy. Management of prolactinoma in special situations is discussed, including cystic lesions, mixed growth hormone-secreting and prolactin-secreting adenomas and giant and aggressive prolactinomas. Furthermore, considerations for pregnancy and fertility are outlined, as well as management of prolactinomas in children and adolescents, patients with an underlying psychiatric disorder, postmenopausal women, transgender individuals and patients with chronic kidney disease. The workshop concluded that, although treatment resistance is rare, there is a need for additional therapeutic options to address clinical challenges in treating these patients and a need to facilitate international registries to enable risk stratification and optimization of therapeutic strategies.
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Hage, C., & Salvatori, R. (2021) · Endocrine · doi:10.1007/s12020-021-02953-1 · Cited by 3 · see citing works
Self-citationHinojosa‐Amaya, J. M., Varlamov, E. V., McCartney, S., & Fleseriu, M. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819949-7.00013-5 · Cited by 2 · see citing works
Self-citationChildhood‐onset prolactinomas—Should earlier surgery be considered?
McCormack, A. I. (2021) · Clinical Endocrinology · doi:10.1111/cen.14477 · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- [38]38. Kaiser, U. & Ho, K. Pituitary physiology and diagnostic evaluation. In Williams Textbook of Endocrinology (eds Melmed, S., Koenig, R., Rosen, C. J., Auchus, R. J. & Goldfine, A, B.) 184-235 (Elsevier, 2019).
Cited by
Sorted by citations
Exogenous Opioids and the Human Endocrine System: An Endocrine Society Scientific Statement
Karavitaki, N., Bettinger, J. J., Biermasz, N., Christ-Crain, M., Gadelha, M. R., Inder, W. J., Tsourdi, E., Wakeman, S. E., & Zatelli, M. (2024) · Endocrine Reviews · doi:10.1210/endrev/bnae023 · Cited by 14 · see citing works
Self-citation
- Authors
- Petersenn, S., Fleseriu, M., Casanueva, F. F., Giustina, A., Biermasz, N., Biller, B. M. K., Bronstein, M., Chanson, P., Fukuoka, H., Gadelha, M., Greenman, Y., Gurnell, M., Ho, K. K. Y., Honegger, J., Ioachimescu, A. G., Kaiser, U. B., Karavitaki, N., Katznelson, L., Lodish, M., Maiter, D., Marcus, H. J., McCormack, A., Molitch, M., Muir, C. A., Neggers, S., Pereira, A. M., Pivonello, R., Post, K., Raverot, G., Salvatori, R., Samson, S. L., Shimon, I., Spencer-Segal, J., Vila, G., Wass, J., & Melmed, S.
- Affiliations
- University of Duisburg-Essen (DE)
- Oregon Health & Science University (US)
- Universidade de Santiago de Compostela (ES)
- Vita-Salute San Raffaele University (IT)
- Leiden University Medical Center (NL)
- Massachusetts General Hospital (US)
- Universidade de São Paulo (BR)
- Université Paris-Saclay (FR)
- Kobe University Hospital (JP)
- Tel Aviv University (IL)
- University of Cambridge (GB)
- Garvan Institute of Medical Research (AU)
- University of Tübingen (DE)
- Medical College of Wisconsin (US)
- Brigham and Women's Hospital (US)
- University of Birmingham (GB)
- Stanford Medicine (US)
- University of California, San Francisco (US)
- Cliniques Universitaires Saint-Luc (BE)
- University College London Hospitals NHS Foundation Trust (GB)
- Northwestern University (US)
- St Vincent's Hospital Sydney (AU)
- Erasmus MC (NL)
- Amsterdam University Medical Centers (NL)
- University of Naples Federico II (IT)
- Mount Sinai Health System (US)
- Johns Hopkins University (US)
- Mayo Clinic in Florida (US)
- University of Michigan (US)
- Medical University of Vienna (AT)
- Churchill Hospital (GB)
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Petersenn, Stephan
- ORCID
- Petersenn, Stephan
- Fleseriu, Maria
- Casanueva, Felipe F.
- Giustina, Andrea
- Biermasz, Nienke
- Biller, Beverly M. K.
- Bronstein, Marcello
- Chanson, Philippe
- Fukuoka, Hidenori
- Greenman, Yona
- Gurnell, Mark
- Ho, Ken K. Y.
- Honegger, Jürgen
- Ioachimescu, Adriana G.
- Kaiser, Ursula B.
- Karavitaki, Niki
- Katznelson, Laurence
- Lodish, Maya
- Maiter, Dominique
- Marcus, Hani J.
- McCormack, Ann
- Molitch, Mark
- Muir, Christopher A.
- Neggers, Sebastian
- Pereira, Alberto M.
- Pivonello, Rosario
- Post, Kalmon
- Raverot, Gerald
- Salvatori, Roberto
- Samson, Susan L.
- Shimon, Ilan
- Spencer-Segal, Joanna
- Vila, Greisa
- Wass, John
- Melmed, Shlomo
- Venue
- Nature Reviews Endocrinology
- Published
- 2023-09-05
- Volume
- 19
- Issue
- 12
- Pages
- 722-740
- ISSN
- 1759-5029 (ISSN-L)
- 1759-5037
- OpenAlex
- W4386449135
- Semantic Scholar
- b67e03e1f2c63652958e8d36ec35c8a16d8d2fe0
- Cited by
- 411
- References
- 193
- Citations by year
- 2026: 145 · 2025: 137 · 2024: 119 · 2023: 8
- FWCI
- 14.68
- Type
- journal article
- Language
- en
- Update notices
- correction (2023-10-17)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Reviews Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- Leiden Repository (Leiden University) (submittedVersion)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
- Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Funders
- Cedars-Sinai Medical Center
- University College London Hospitals NHS Foundation Trust
- Wellcome / EPSRC Centre for Interventional and Surgical Sciences
- Engineering and Physical Sciences Research Council
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- prolactinoma, prolactin-secreting pituitary adenoma, hyperprolactinemia, dopamine agonist therapy, surgical treatment, radiotherapy, giant prolactinoma, treatment resistance, pituitary imaging
- MeSH terms
- Adolescent, Child, Diagnostic Imaging, Female, Humans, Hyperprolactinemia, Pituitary Neoplasms, Pregnancy, Prolactin, Prolactinoma, Dopamine Agonists
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