Evidence map›Paper›PMID 30276594›Full record

ArticleEndocrine2019

Posterior pituitary tumours: the spectrum of a unique entity. A clinical and histological study of a large case series.

Fernando Guerrero-Pérez, Noemi Vidal, Agustina Pia Marengo, Carlos Del Pozo, Concepción Blanco, David Rivero-Celada, Juan José Díez, Pedro Iglesias, Antonio Picó, Carles Villabona

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Primary tumors of the posterior pituitary: A systematic review.Reviews in endocrine & metabolic disorders · 2019
    Pooled it
  3. Spindle cell oncocytoma: illustrative case.Journal of neurosurgery. Case lessons · 2026
    Article
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  6. Review
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  13. Review
  14. Intraventricular pituicytoma: illustrative case.Journal of neurosurgery. Case lessons · 2024
    Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Fernando Guerrero-PérezDepartment of Endocrinology, Hospital Universitari de Bellvitge, Barcelona, Spain. ferguepe@hotmail.com.ORCID http://orcid.org/0000-0002-4165-4356
Noemi VidalDepartment of Pathology, Hospital Universitari de Bellvitge, Barcelona, Spain.
Agustina Pia MarengoDepartment of Endocrinology, Hospital Universitari de Bellvitge, Barcelona, Spain.
Carlos Del PozoDepartment of Endocrinology, Hospital Universitari Mutua Terrassa, Barcelona, Spain.
Concepción BlancoDepartment of Endocrinology, Hospital Universitario Príncipe de Asturias, Madrid, Spain.
David Rivero-CeladaDepartment of Neurosurgery, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Juan José DíezDepartment of Endocrinology, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Pedro IglesiasDepartment of Endocrinology, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Antonio PicóDepartment of Endocrinology, Hospital General Universitario de Alicante, Alicante, Spain.
Carles VillabonaDepartment of Endocrinology, Hospital Universitari de Bellvitge, Barcelona, Spain.
Bellvitge University Hospital · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario Miguel Servet · ESHospital Universitario Príncipe de Asturias · ESMútua Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn 2017, the WHO established that pituicytoma, granular cell tumour (GCT) and spindle cell oncocytoma (SCO) are posterior pituitary tumours (PPT). Recent data suggests that these tumours probably arise from the pituicytes and may constitute a spectrum of a unique histopathological entity. Our aim is to report the clinical findings and surgical outcomes of 16 patients with PPT. We also evaluated the tissue specimens available in light of current knowledge.

methodCross-sectional study with retrospective data.

resultsPPT were 7 pituicytomas, 3 GCT and 6 SCO. Patients mean age was 55 years old and 75% were female. Basal hormonal study showed hyperprolactinemia (43.7%) and hypopituitarism (37.5%). There was no case of diabetes insipidus (DI). MRI showed sellar/suprasellar masses with mean size of 19.7mm. PPT was not suspected in any patient. Fifteen patients underwent surgery and complications were common: 20% had perioperative bleeding (one patient died because of a massive haemorrhage), 57.1% hypopituitarism, 35.7% permanent DI and 21.4% underwent a second surgery. Pathological findings shown positivity for thyroid transcription factor 1, vimentin and negativity for cytokeratin and chromogranin A in all specimens evaluated. S100 protein was positive in 88.8% of tumours. Ki67 was ≥ 3% in 66.6% and ranged from 4-7% in SCO.

conclusionPPT have similar histology, clinical features and are frequently misdiagnosed as nonfunctioning pituitary tumours. However, post-surgical complications including haemorrhage are common. A high clinical suspicion is needed to presume the diagnosis prior surgery and diminish the high morbidity of these tumours.

Indexed as

Adenoma, OxyphilicAdultAgedCross-Sectional StudiesFemaleGranular Cell TumorHumansHyperprolactinemiaHypopituitarismMagnetic Resonance ImagingMaleMiddle AgedNeurosurgical ProceduresPituitary Gland, PosteriorPituitary NeoplasmsPostoperative ComplicationsGranular cell tumours of the neurohypophysisPituicytomaPosterior pituitary tumoursSpindle cell oncocytoma

Identifiers

PMID30276594
OpenAlexW2895055300

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.