Endocrine Abstracts

Background: Stereotactic radiotherapy techniques have been recently employed in the control of skull base tumours, such as pituitary edenomas, craniopharyngiomas and meningiomas.Purpose: To assess the long-term endocrinological effect of fractionated stereotactic conformal radiotherapy (SCRT) in patients with residual and recurrent sellar and parasellar tumours treated at Royal Marsden Hospital.Patients and methods: 245 patients (m...

Background: Transsphenoidal surgery (TSS) is able to determine the biochemical remission of acromegaly in 45%–80% of the patients, thereby inducing an improvement of cardiovascular function and glucose metabolism. Only 3–5% of acromegalics are diagnosed over 65-years-old, so few data are available about post-operative cardiovascular and metabolic changes in this group.Patients and Methods: Fifteen acromegalic patients ≥65 years-old who un...

Introduction: Metastatic pituitary neuroendocrine tumors (PitNETs) or pituitary carcinomas are rare and challenging conditions. We present a recent and encouraging observation of a temozolomide (TMZ)-resistant clinically non-functioning metastatic PitNET showing a remarkable response to the anti-PDL1 drug Pembrolizumab.Case presentation: A 57-years-old man had transsphenoidal surgery in November 2012 for a large non-functioning intra/suprasellar mass rev...

Aim: This guideline (GL) is aimed at providing a reference for the management of prolactin (PRL)-secreting pituitary adenoma in non-pregnant adults.Methods: For each question, the panel identified potentially relevant outcomes, which were then rated for their impact on therapeutic choices.Results: The present GL provides recommendations about the roles of pharmacological and neurosurgical treatment for the management of prolactinom...