Medical therapies in pituitary adenomas: Current rationale for the use and future perspectives.

Ann Endocrinol (Paris)

Department of Internal Medicine, Division of Endocrinology, Erasmus Medical Center, Rotterdam, The Netherlands; Endocrinology, Department of Internal Medicine & Medical Specialities (DiMI), Center of Excellence for Biomedical Research (CEBR), University of Genova, Genova, Italy; Endocrinology, IRCCS AOU San Martino-IST, Genova, Italy.

Published: February 2015

AI Article Synopsis

  • Pituitary adenomas (PAs) are mostly benign tumors that require a combination of surgery, medication, and radiation for treatment, following a multidisciplinary approach.
  • Trans-sphenoidal surgery is the primary treatment for PAs, except for those producing prolactin, but can be complicated by aggressive or invasive tumors, often necessitating medical therapies.
  • The review focuses on both the molecular and clinical aspects of existing and developing medical treatments tailored to various types of pituitary adenomas.

Article Abstract

Pituitary adenomas (PA) represent in the majority of cases, benign tumors whose treatment currently associate surgery, medical therapies and radiotherapy in a multidisciplinary approach. While trans-sphenoidal surgery remains, except for prolactin-secreting adenomas, the first-line treatment of PA, it can considerably be hampered by the existence of an invasive and/or aggressive tumor for which medical therapies are often requested. In this review, we extensively discuss, both at molecular and clinical levels, the medical therapies currently used and in development in the different phenotypes of pituitary adenomas.

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Source
http://dx.doi.org/10.1016/j.ando.2014.10.002DOI Listing

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