Pituitary & hypothalamus

Long-term clinical outcome of 103 patients with acromegaly after pituitary surgery

PituitaryPublished Retrospective cohort study

Authors' conclusion

About half of the patients had biochemical control of acromegaly 1-year post-surgery. Treatment patterns reflected the complexity of post-surgical management and provided an overview of the long-term clinical progression in patients with acromegaly following pituitary surgery.

Study context

Population
Patients with acromegaly who underwent surgery for a GH-producing pituitary adenoma at Sahlgrenska University Hospital, 1994–2019
Participants
103 patients111 surgeries
Outcome
Path of treatment and long-term outcome of acromegaly after pituitary surgery
Methodological detailssingle-centre, Medical records reviewed from diagnosis to end of study (November 2022)
  • Single-centre
  • Medical records reviewed from diagnosis to end of study (November 2022)

Main finding

As reported in the abstract

Biochemical control of acromegaly at 1-year post-surgery (evaluable patients)

50%

No additional medication for acromegaly after surgery until end of follow-up (of 96 with follow-up >1 year)

53

51.5%

Received medical therapy, diagnosis to end of follow-up

53 patients

Treated with radiotherapy, diagnosis to end of follow-up

7

Observational data: associations, not effects.

Further findings

Lesions identified as macroadenoma
76 (76.8%)

Safety

Surgical complications and new pituitary hormone deficiency or SIADH · post-surgical follow-up until discharge

Surgical complications and new pituitary hormone deficiency or syndrome of inappropriate antidiuretic hormone secretion
37% of cases

Original publication

Long-term clinical outcome of 103 patients with acromegaly after pituitary surgery. Pituitary. Published 22 February 2025. doi:10.1007/s11102-025-01503-6

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