Evidence map›Paper›PMID 40186832›Full record

ArticlePituitary2025

Clinical, surgical, and endocrine outcome following treatment of posterior pituitary tumors: a retrospective cohort study.

Natalia Kremenevski, Oliver Schnell, Roland Coras, Michael Buchfelder, Nirjhar Hore

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Article in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Natalia KremenevskiDepartment of Neurosurgery, Friedrich-Alexander Universität Erlangen-Nuremberg, Erlangen, Germany. kremenevskiy@hotmail.com.ORCID https://orcid.org/0009-0009-6082-6617
Oliver SchnellDepartment of Neurosurgery, Friedrich-Alexander Universität Erlangen-Nuremberg, Erlangen, Germany.
Roland CorasDepartment of Neuropathology, Friedrich-Alexander Universität Erlangen-Nuremberg, Erlangen, Germany.
Michael BuchfelderDepartment of Neurosurgery, Friedrich-Alexander Universität Erlangen-Nuremberg, Erlangen, Germany.
Nirjhar HoreDepartment of Neurosurgery, Friedrich-Alexander Universität Erlangen-Nuremberg, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the clinical presentation, endocrine dysfunction, surgical outcome, and long-term prognosis in patients with histologically confirmed posterior pituitary tumors (PPTs).

methodsA retrospective cohort study was conducted on 19 patients treated for PPTs at a single center between 2000 and 2023. Data on clinical, endocrine, and surgical outcomes were collected and analyzed.

resultsThe cohort included 3 pituicytomas (PCs), 8 granular cell tumors (GCTs), and 8 spindle cell oncocytomas (SCOs) patients, with a female predominance (58%) and a mean age of 57.2 ± 13.2 years. Symptoms leading to diagnosis were headache (31.6%), visual impairment (21%), and sexual dysfunction (10.5%). GCT patients had higher preoperative BMI (34.49 ± 5.72) compared to PC (22.12 ± 2.40) and SCO (24.74 ± 4.24) patients (p < 0.01). Postoperative BMI increased across all groups, with GCTs patients showing the steepest rise (p < 0.01). Endocrine dysfunction largely persisted or worsened after surgery, with limited recovery at follow-up. Surgical approaches included transsphenoidal (48%) and transcranial (52%), achieving gross total resection in 58% of cases. Tumor recurrence occurred in 16% of patients, all requiring adjuvant radiation therapy. Tumor-specific survival at 5 years was 100% with an overall survival rate of 80% where non-tumor-related comorbidities accounted for the observed mortality.

conclusionPPTs are rare tumors with significant endocrine and metabolic consequences. While surgical management is associated with favorable tumor-specific survival, persistent endocrine dysfunction and postoperative progressive BMI underscore the need for long-term follow-up and targeted interventions. These findings contribute to the understanding of PPT biology and support the development of optimized management strategies.

Indexed as

Pituitary NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEndocrine and surgical outcomesGranular cell tumorPituicytomaPituitary functionSpindle cell oncocytoma

Identifiers

PMID40186832
PMCPMC11972177

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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.