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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Refractory corticotroph adenomas
Amit K S Sumal1, Dongyun Zhang1, Anthony P Heaney2,3
1Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Abstract:
The majority of corticotroph adenomas are benign but some are locally invasive, demonstrate high rates of recurrence, and exhibit a relatively poor response to often repeated surgical, medical, and radiation treatment. Herein, we summarize the currently known somatic and genetic mutations and other molecular factors that influence the pathogenesis of these tumors and discuss currently available therapies. Although recent molecular studies have advanced our understanding of the pathogenesis and behavior of these refractory corticotroph adenomas, these insights do not reliably guide treatment choices at present. Development of additional diagnostic tools and novel tumor-directed therapies that offer efficacious treatment choices for patients with refractory corticotroph adenomas are needed.
Insights
Refractory corticotroph adenomas are challenging tumors that often recur and resist treatment. Current molecular insights are insufficient to guide therapy, necessitating new diagnostic tools and treatments.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Corticotroph adenomas are pituitary tumors, mostly benign.
- Some adenomas are locally invasive, recurrent, and resistant to standard treatments (surgery, radiation, medication).
Purpose of the Study:
- To review somatic and genetic mutations and molecular factors in corticotroph adenoma pathogenesis.
- To discuss current therapeutic strategies for these tumors.
Main Methods:
- Literature review of molecular studies on corticotroph adenomas.
- Analysis of current treatment options and their efficacy.
Main Results:
- Molecular studies have improved understanding of corticotroph adenoma behavior.
- Current molecular insights do not reliably inform treatment decisions.
Conclusions:
- Novel diagnostic tools and targeted therapies are required for refractory corticotroph adenomas.
- Further research is needed to develop more effective treatment options for patients with these challenging tumors.
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