Abstract
Surgery is the treatment of choice for nonfunctioning pituitary tumors (NFPTs). Postoperative tumor regrowth during follow-up is present in about half of the patients with invasive NFPTs with residual tumor but occurs also in 15% of patient without residue. Therapeutic strategies should consider this risk of recurrence and the potential side effects associated with therapeutic options. Identification of prognostic markers is mandatory to help clinicians to predict the risk of recurrence and to choose the best strategy between conservative follow-up, second surgery, postoperative adjuvant radiation therapy, and medical treatment (dopamine agonists, somatostatin analogs). Recent advances in pathological classification may be the first step for identification of NFPTs with a high risk of recurrence.
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This work was supported by grants from the Ministère de la Santé Programme Hospitalier de Recherche Clinique National No. 27-43 HYPOPRONOS, and the Programme Hospitalier de Recherche Clinique National INCA No. 12-096 PITUIGENE.
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G.R. has received research grants from Novartis Pharma and IPSEN; and speaker honorarium from Novartis Pharma and IPSEN. A.V. declares that he has no conflict of interest. E.J. has received speaker honorarium from Novartis Pharma.
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Raverot, G., Vasiljevic, A. & Jouanneau, E. Prognostic factors of regrowth in nonfunctioning pituitary tumors. Pituitary 21, 176–182 (2018). https://doi.org/10.1007/s11102-017-0861-3
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DOI: https://doi.org/10.1007/s11102-017-0861-3