The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Relative sparing of anterior pituitary function in patients with growth hormone-secreting macroadenomas: comparison with nonfunctioning macroadenomas.
Open accessAbstract
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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“A meta-analysis showed that morbidity of early postoperative AI ranged from 0.96-12.90%,with an overall morbidity of 5.55% (235).”
From Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline (2016) · cites this paper as [235]
Citations
Cites
Reversible hypopituitarism in patients with large nonfunctioning pituitary adenomas
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Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline
Fleseriu, M., Hashim, I. A., Karavitaki, N., Melmed, S., Murad, M. H., Salvatori, R., & Samuels, M. H. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-2118 · Cited by 945
Systemic Complications of Acromegaly and the Impact of the Current Treatment Landscape: An Update
Gadelha, M. R., Kasuki, L., Lim, D. S. T., & Fleseriu, M. (2018) · Endocrine Reviews · doi:10.1210/er.2018-00115 · Cited by 382
Epidemiology, clinical presentation and diagnosis of non-functioning pituitary adenomas
Ntali, G., & Wass, J. A. H. (2018) · Pituitary · doi:10.1007/s11102-018-0869-3 · Cited by 283
Treatment and Follow-Up of Clinically Nonfunctioning Pituitary Macroadenomas
Dekkers, O. M., Pereira, A. M., & Romijn, J. A. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0643 · Cited by 252
Losa, M., Mortini, P., Barzaghi, L. R., Ribotto, P., Terreni, M. R., Marzoli, S. B., Pieralli, S., & Giovanelli, M. A. (2008) · Journal of neurosurgery · doi:10.3171/jns/2008/108/3/0525 · Cited by 229
Metadata
- Authors
- Greenman, Y., Tordjman, K., Kisch, E., Razon, N., Ouaknine, G., & Stern, N.
- Affiliations
- Tel Aviv Sourasky Medical Center (IL)
- 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
- 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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