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Early Results of Microsurgical Treatment of Acromegaly Cover

Early Results of Microsurgical Treatment of Acromegaly

Open Access
|Jun 2018

Figures & Tables

Figure 1

Patient 1 coronal (A) and sagittal (B) contrast-enhanced T1-weighted MRI brain scan showing macroadenoma with cavernous sinus invasion. Follow-up coronal (C) and sagittal (D) MRI obtained 3 months after microsurgical removal of the macroadenoma; a remanent was left in the cavernous sinus

Figure 2

Patient 2 coronal (A) and sagittal (B) contrast-enhanced T1-weighted MRI brain scan showing macroadenoma with no cavernous sinus invasion. Follow-up coronal (C) and sagittal (D) MRI with total removal of the lesion

Predictors of persistent disease in published series from 2000 onwards_ Only series with a multivariate analysis which used a microsurgical technique are included into the table_

ReferencesNumber of patientsRemission percentage (%)Predictors of persistent disease based on multivariable analysis
Minniti et al.9255Cavernous sinus invasion Size
Attanasio et al.9663,5None
Kreutzer et al.5770,2Dural invasion
Bourdelot et al.8359Size

>15 mm

van Bunderen et al.3030Cavernous sinus invasion
Present series8172,8Cavernous sinus invasion

Comparison of preoperative characteristics between patients cured after surgery and patients with persistent disease

Biochemical controlPersistent disease
Females+26/59 (44%)8/14 (57%)P=0,39

Fisher Exact Test

Age

mean±satandard deviation

43,03±16,236,68±9,42P=0,24

Student T test

Cavernouse sinus invasión6/59 (10%)17/22(77%)p<0,001

Fisher Exact Test

Microadenoma28/59 (47%)0/22 (0%)p<0,001

Fisher Exact Test

Preoperative GH

median±interqartile range

(mU/ml)+
18,35±16,28,5±6,8p<0,05

Mac Niemann

Preoperative IGF-1

median±interqartile range

(ng/ml)+
842±277805±460P=0,37

Mac Niemann

Language: English
Page range: 22 - 29
Published on: Jun 2, 2018
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2018 Pablo Ajler, Alvaro Campero, Federico Landriel, Ezequiel Goldschmidt, Santiago Hem, Antonio Carrizo, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.