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Single center study of 53 consecutive patients with pituitary stalk lesions.
Doknic, Mirjana; Miljic, Dragana; Pekic, Sandra; Stojanovic, Marko; Savic, Dragan; Manojlovic-Gacic, Emilija; Milenkovic, Tatjana; Zdravkovic, Vera; Jesic, Maja; Damjanovic, Dusan; Lavrnic, Slobodan; Soldatovic, Ivan; Djukic, Aleksandar; Petakov, Milan.
Affiliation
  • Doknic M; Neuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia. mirjanadoknic@gmail.com.
  • Miljic D; School of Medicine, University of Belgrade, Belgrade, Serbia. mirjanadoknic@gmail.com.
  • Pekic S; Neuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
  • Stojanovic M; School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Savic D; Neuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
  • Manojlovic-Gacic E; School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Milenkovic T; Neuroendocrine Department, Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Dr Subotica 13, Belgrade, 11000, Serbia.
  • Zdravkovic V; School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Jesic M; Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia.
  • Damjanovic D; School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Lavrnic S; Institute of Pathology, School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Soldatovic I; School of Medicine, University of Belgrade, Belgrade, Serbia.
  • Djukic A; Mother and Child Health Care Institute of Serbia "Dr Vukan Cupic", Belgrade, Serbia.
  • Petakov M; University Children's Clinic, Belgrade, Serbia.
Pituitary ; 21(6): 605-614, 2018 Dec.
Article de En | MEDLINE | ID: mdl-30276501
ABSTRACT

BACKGROUND:

The etiological spectrum of pituitary stalk lesions (PSL) is wide and yet specific compared to the other diseases of the sellar and suprasellar region. Because of the pituitary stalk's (PS) critical location and role, biopsies of these lesions are rarely performed, and their underlying pathology is often a conundrum for clinicians. A pituitary MRI in association with a clinical context can facilitate their diagnosis.

AIM:

To present the various causes of PSL-their clinical, hormonal, histopathological, and MRI characteristics in order to gain better insight into this pathology.

METHOD:

A retrospective observational study consisting of 53 consecutive patients with PSL of the mean age 32 ± 4.2 years (range 6-67), conducted at the Department for Neuroendocrinology, Clinical Center of Serbia 2010-2018.

RESULTS:

Congenital malformations were the most common cause of PSL in 25 of 53 patients (47.1%), followed by inflammatory (9/53; 16.9%) and neoplastic lesions (9/53; 16.9%). The exact cause of PSL was established in 31 (58.4%) patients, of whom 23 were with congenital PS abnormalities and 8 with histopathology of PSL (7 neoplastic and 1 Langerhans Cell Hystiocytosis). A probable diagnosis of PSL was stated in 12 patients (22.6%) 6 with lymphocytic panhypophysitis, while Rathke cleft cyst, tuberculosis, dissemination of malignancy in PS were each diagnosed in 2 patients. In 10 patients (18.8%), the etiology of PSL remained unknown.

CONCLUSION:

Due to the inability of establishing an exact diagnosis, the management and prognosis of PSL are difficult in many patients. By presenting a wide array of causes implicated in this condition, we believe that our study can aid clinicians in the challenging cases of this pathology.
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Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Hypophyse Type d'étude: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Langue: En Journal: Pituitary Sujet du journal: ENDOCRINOLOGIA Année: 2018 Type de document: Article

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Hypophyse Type d'étude: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Langue: En Journal: Pituitary Sujet du journal: ENDOCRINOLOGIA Année: 2018 Type de document: Article