Multidisciplinary protocol of preoperative and surgical management of patients with pituitary tumors candidates to pituitary surgery.

Marta Araujo-Castro, Eider Pascual-Corrales, Juan Martínez San Millan, Gema Rebolleda, Héctor Pian, Ignacio Ruz-Caracuel, Gonzalo De Los Santos Granados, Luis Ley Urzaiz, Héctor Francisco Escobar-Morreale, Victor Rodríguez Berrocal

Journal: Annales d'endocrinologie 2021;82(1):20-29

PMID: 33278380

Full Text on Elsevier Science View on PubMed

Abstract

The optimal planning of preoperative diagnosis, management and treatment of pituitary tumors (PT) candidates to pituitary surgery (PS) requires a multidisciplinary approach involving a team of endocrinologists, neurosurgeons, ENT, neuro-ophthalmologists and neuroradiologists with experience in pituitary diseases. Such teams improve surgical results, minimize complications and facilitate their correct treatment if occurring, and optimize the hormonal, ophthalmological and radiological preoperative and follow-up evaluation. We have developed a clinical practice protocol for patients with PT who are candidates to PS based on the most recent national and international guidelines and the relevant literature regarding PT published in the last years. The protocol has been elaborated by a multidisciplinary team of a Spanish Pituitary Tumor Center of Excellence (PTCE) that includes at least one neurosurgeon, ENT, neuroradiologist, neuro-ophthalmologist, endocrine pathologist and endocrinologist specialized in pituitary diseases. We elaborated this guideline with the aim of sharing our experience with other centers involved in the perioperative and surgical management of PT thereby facilitating the management of patients undergoing PS.

Address: Neuroendocrinology unit, department of endocrinology and nutrition, hospital universitario Ramón y Cajal, M-607, km. 9, 100, 28034 Madrid, Spain; Instituto de investigación Sanitaria Ramón y Cajal (IRYCIS), Madrid, Spain. Electronic address: [email protected].; Neuroendocrinology unit, department of endocrinology and nutrition, hospital universitario Ramón y Cajal, M-607, km. 9, 100, 28034 Madrid, Spain.; Neuroradiology unit, department of diagnostic imaging, hospital universitario Ramón y Cajal, Madrid, Spain.; Neuro-ophthalmology unit, department of ophthalmology, hospital universitario Ramón y Cajal, Madrid, Spain; Universidad de Alcalá, Madrid, Spain.; Endocrinology unit, department of pathology, hospital universitario Ramón y Cajal, Madrid, Spain.; Rinology unit, department of otorhinolaryngology (ENT), hospital universitario Ramón y Cajal, Madrid, Spain; Universidad de Alcalá, Madrid, Spain; Instituto de investigación Sanitaria Ramón y Cajal (IRYCIS), Madrid, Spain.; Pituitary surgery unit, department of neurosurgery, hospital universitario Ramón y Cajal, Madrid, Spain.; Neuroendocrinology unit, department of endocrinology and nutrition, hospital universitario Ramón y Cajal, M-607, km. 9, 100, 28034 Madrid, Spain; Universidad de Alcalá, Madrid, Spain; Instituto de investigación Sanitaria Ramón y Cajal (IRYCIS), Madrid, Spain; Centro de investigación biomédica en red diabetes y enfermedades metabólicas asociadas (CIBERDEM), Madrid, Spain.

DOI: 10.1016/j.ando.2020.11.001

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https://medlineplus.gov/pituitarytumors.html

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https://scite.ai/reports/33278380

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https://assays.cancer.gov/non-CPTAC-3848

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MeSH Terms: Humans, Interdisciplinary Communication, Neurosurgical Procedures, Patient Care Team, Pituitary Neoplasms, Practice Guidelines as Topic, Preoperative Care, Spain