Pituitary & hypothalamus

External validation of the PANOMEN-3 classification for predicting 1-year surgical remission in pituitary adenoma

PituitaryPublished Retrospective cohort study

Main finding · RemissionResult — go to the resultOR for failure to achieve remission 4.54 95% CI 1.12–18.48

Authors' conclusion

The PANOMEN-3 classification is associated with early postoperative remission and may provide clinically relevant information for risk stratification in pituitary adenomas.

Study context

Population
Consecutive patients undergoing transsphenoidal surgery for pituitary adenoma, June 2023–January 2025; tumours classified by WHO 2022 criteria
Participants
77 patients
Exposure
PANOMEN-3 grades I, II and III
Outcome
Remission, defined biochemically for functioning and radiologically for non-functioning tumours
Follow-up
1 year
Methodological detailssingle-centre, external validation, consecutive patients
  • Single-centre
  • External validation
  • Consecutive patients

Main finding

Remission

OR for failure to achieve remission

4.54

95% CI 1.12–18.48

P = 0.034

By group

PANOMEN-3 grade ≥ 2
OR for failure to achieve remission 4.54 (95% CI 1.12–18.48); P = 0.034

As reported in the abstract

Overall remission
52 of 77 patients (67.5%)
ROC: moderate discriminative performance (AUC)
0.69

Observational data: associations, not effects.

Further findings

Ki-67

Moderate correlation with PANOMEN grade but not significantly associated with remission

Original publication

External validation of the PANOMEN-3 classification for predicting 1-year surgical remission in pituitary adenoma. Pituitary. Published 20 April 2026. doi:10.1007/s11102-026-01682-w

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