Pituitary & hypothalamus

Early identification of postoperative remission for thyrotropin‐secreting adenomas

Clin Endocrinol (Oxf)Published Retrospective cohort study

Authors' conclusion

Tumour size and extent are major prognostic factors for remission. Postoperative thyroid function at 3 months could be used as a clinical prediction tool for long-term endocrinological remission.

Study context

Population
Patients diagnosed with TSH-secreting adenoma (TSHoma) and surgically treated at a single hospital, January 2015 to June 2021
Participants
63 patients
Exposure
Remission vs nonremission after surgery
Outcome
Long-term postoperative endocrinological remission and its predictors (preoperative characteristics, postoperative thyroid function)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Postoperative endocrinological remission

Achieved postoperative endocrinological remission

88.14%

Postoperative thyroid function at 3 months was a viable diagnostic predictor for remission, especially FT4 with cutoff

20.65 pmol/L

Observational data: associations, not effects.

Further findings

Demographic and clinical characteristics · diagnosis

Male to female ratio
1.25
Mean age at diagnosis
45 ± 12 years
Hyperthyroidism
68.25%
Space-occupying effect
15.87%
Amenorrhea (of female patients)
7.14%
No symptoms
22.22%

Original publication

Early identification of postoperative remission for thyrotropin‐secreting adenomas. Clin Endocrinol (Oxf). Published 31 May 2024. doi:10.1111/cen.15066

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