Cited by 74Pituitary Gland Disorders and TreatmentsNeuroendocrine Tumor Research AdvancesGrowth Hormone and Insulin-like Growth Factors

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Relative sparing of anterior pituitary function in patients with growth hormone-secreting macroadenomas: comparison with nonfunctioning macroadenomas.

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Greenman, Y, Tordjman, K, Kisch, E, Razon, N, Ouaknine, G, Stern, N·1995·The Journal of Clinical Endocrinology & Metabolism

DOI 10.1210/jcem.80.5.7745003

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Abstract

Pre- and postoperative anterior pituitary function was assessed in 26 subjects with nonfunctioning macroadenoma (NFMA) and in 15 acromegalic subjects with macroadenomas. Preoperatively, NFMA patients had a higher prevalence of secondary hypogonadism (78% vs. 40%; P < 0.05), hypothyroidism (23% vs. 0%; P = 0.06), and hypoadrenalism (43% vs. 7%; P = 0.02) compared to individuals with GH-secreting macroadenoma (GHMA). Patients with NFMA also had a higher prevalence of more severe pituitary failure compared with acromegalic patients; 56% of the patients in this group had more than one pituitary hormone axis impaired compared to only 8% in the acromegalic group. These differences could not be accounted for by tumor grade and/or stage. Transsphenoidal pituitary surgery led to a significant improvement in anterior pituitary function in the NFMA group. Nevertheless, the prevalence of pituitary deficiency postoperatively was still significantly greater in NFMA patients than in the acromegalic group (68% vs. 17%, respectively; P < 0.04). The results suggest that anterior pituitary function is better preserved in GHMA than in NFMA and that this difference is independent of tumor size. The mechanism underlying the lower rate of hypopituitarism in acromegalics with macroadenomas remains to be elucidated.

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Authors: Greenman, Y., Tordjman, K., Kisch, E., Razon, N., Ouaknine, G., & Stern, N.
Affiliations: Tel Aviv Sourasky Medical Center (IL)
ORCID: Greenman, Y
Tordjman, K
Stern, N
Venue: The Journal of Clinical Endocrinology & Metabolism
Publisher: The Endocrine Society
Published: 1995-05
Volume: 80
Issue: 5
Pages: 1577-1583
ISSN: 0021-972X (ISSN-L)
1945-7197
DOI: 10.1210/jcem.80.5.7745003
OpenAlex: W1996393716
Cited by: 74
References: 14
Citations by year: 2024: 2 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 1 · 2013: 1 · 2012: 3
FWCI: 1.56
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: The Journal of Clinical Endocrinology & Metabolism (publishedVersion, cc-by)
The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
Health Sciences › Medicine › Oncology › Neuroendocrine Tumor Research Advances
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
Keywords: anterior pituitary function, growth hormone-secreting pituitary adenoma, non-functioning pituitary macroadenoma, acromegaly, hypopituitarism, secondary hypogonadism, hypothyroidism, adrenal insufficiency, transsphenoidal surgery, pituitary hormone deficiency
MeSH terms: Acromegaly, Adenoma, Adult, Female, Humans, Male, Middle Aged, Pituitary Gland, Anterior, Pituitary Neoplasms, Postoperative Period, Growth Hormone

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Relative sparing of anterior pituitary function in patients with growth hormone-secreting macroadenomas: comparison with nonfunctioning macroadenomas.

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