Endoscopic Transsphenoidal Surgery with a Layered Peel Strategy for Cushing's Disease Treatment: A Case Series

Article Oncology

Pseudocapsule-Based Resection for Pituitary Adenomas via the Endoscopic Endonasal Approach

Yuefei Zhou et al.

Summary: Pseudocapsule-based extracapsular resection of PAs via EEA is an effective and safe procedure to achieve complete resection with high and sustained endocrine remission and without deteriorating pituitary function.

FRONTIERS IN ONCOLOGY (2022)

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Review Endocrinology & Metabolism

Pseudocapsule and pseudocapsule-based extracapsular resection in pituitary neuroendocrine tumors

Xiao Bin Wang et al.

Summary: Pseudocapsule serves as the anatomical interface between PitNETs and normal pituitary gland, while the pseudocapsule-based extracapsular resection (ER) technique can achieve better outcomes and reduce recurrence in PitNETs surgery.

FRONTIERS IN ENDOCRINOLOGY (2022)

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Review Endocrinology & Metabolism

Individualized medical treatment options in Cushing disease

Aleksandra Gilis-Januszewska et al.

Summary: Cushing's disease is a challenging endocrine disorder caused by a pituitary tumor. While surgery is the preferred treatment, some patients require alternative medication options. Currently, various medications targeting different aspects of the disease are available, and the selection should be tailored to individual patients.

FRONTIERS IN ENDOCRINOLOGY (2022)

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Article Clinical Neurology

Exoscopic vs. microscopic transsphenoidal surgery for Cushing's disease: a retrospective single-center study on 388 patients

Piotr Sumislawski et al.

Summary: This study compared the effectiveness of exoscopic transsphenoidal surgery (ExTS) and microscopic transsphenoidal surgery (MTS) in the treatment of Cushing's disease (CD). The results showed that ExTS had a lower incidence of SIADH/diabetes insipidus, a higher rate of remission, and a shorter duration of surgery compared to MTS. ExTS demonstrated multiple benefits for tumor resection in CD.

NEUROSURGICAL REVIEW (2022)

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Article Endocrinology & Metabolism

Outcomes of endoscopic transsphenoidal surgery for Cushing's disease

Zarina Brady et al.

Summary: The study retrospectively analyzed remission rates and postoperative complications in CD patients undergoing ETSS, finding an overall remission rate of 92% with higher rates in microadenoma patients. Postoperative transient and permanent diabetes insipidus occurred in 33% and 23% respectively, necessitating longer follow-up to assess recurrence rates.

BMC ENDOCRINE DISORDERS (2021)

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Review Endocrinology & Metabolism

Epidemiology and mortality of Cushing's syndrome

Osamah A. Hakami et al.

Summary: Endogenous Cushing's syndrome is a rare endocrine disorder characterized by excess cortisol secretion. Patients with active CS have elevated mortality rates, primarily due to cardiovascular disease. Early diagnosis, prompt treatment, and strict control of cardiovascular risk factors are crucial for the long-term prognosis of these patients.

BEST PRACTICE & RESEARCH CLINICAL ENDOCRINOLOGY & METABOLISM (2021)

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Review Endocrinology & Metabolism

Consensus on diagnosis and management of Cushing's disease: a guideline update

Maria Fleseriu et al.

Summary: Cushing's disease requires accurate diagnosis, careful treatment selection, and long-term management. The Pituitary Society convened a consensus workshop to discuss recent evidence and clinical practice. Recommendations regarding lab tests, imaging, and treatment options were collated and discussed, with focus on future research topics.

LANCET DIABETES & ENDOCRINOLOGY (2021)

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Article Endocrinology & Metabolism

Complication avoidance protocols in endoscopic pituitary adenoma surgery: a retrospective cohort study in 514 patients

Jai Deep Thakur et al.

Summary: This study suggests that adherence to established protocols for endoscopic pituitary surgery may minimize complications, readmissions, and length of stay while improving the likelihood of preserving gland function, although there is still room for further improvements.

PITUITARY (2021)

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Review Neurosciences

Efficacy of Endoscopic Transsphenoidal Surgery for Cushing's Disease: Case Series and Review of the Literature

Katsuya Masui et al.

NEUROLOGY INDIA (2020)

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Article Otorhinolaryngology

In Vivo Computed Tomography Direct Volume Rendering of the Anterior Ethmoidal Artery: A Descriptive Anatomical Study

Filippo Cascio et al.

INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY (2020)

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Article Genetics & Heredity

Microscopic versus endoscopic transsphenoidal surgery in the Leiden cohort treated for Cushing's disease: surgical outcome, mortality, and complications

Leonie H. A. Broersen et al.

ORPHANET JOURNAL OF RARE DISEASES (2019)

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Article Endocrinology & Metabolism

Peel-off resection of the pituitary gland for functional pituitary adenomas: pathological significance and impact on pituitary function

Yuichi Nagata et al.

PITUITARY (2019)

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Article Clinical Neurology

Long Term Follow-up after Endoscopic Endonasal Approach for the Treatment of Cushing's Disease

Alexandre Bossi Todeschini et al.

JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE (2019)

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Review Medicine, General & Internal

Current management of Cushing's disease

N. A. Tritos et al.

JOURNAL OF INTERNAL MEDICINE (2019)

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Review Endocrinology & Metabolism

Endoscopic vs. microscopic transsphenoidal surgery for Cushing's disease: a systematic review and meta-analysis

Leonie H. A. Broersen et al.

PITUITARY (2018)

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Review Endocrinology & Metabolism

Outcome of endoscopic vs microsurgical transsphenoidal resection for Cushing's disease

Nidan Qiao

ENDOCRINE CONNECTIONS (2018)

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Article Clinical Neurology

Pure endoscopic transsphenoidal surgery for functional pituitary adenomas: outcomes with Cushing's disease

Sauradeep Sarkar et al.

ACTA NEUROCHIRURGICA (2016)

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Review Endocrinology & Metabolism

The Treatment of Cushing's Disease

Rosario Pivonello et al.

ENDOCRINE REVIEWS (2015)

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Review Endocrinology & Metabolism

Outcomes in patients with Cushing's disease undergoing transsphenoidal surgery: systematic review assessing criteria used to define remission and recurrence

Stephan Petersenn et al.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2015)

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Article Endocrinology & Metabolism

Treatment of Cushing's Syndrome: An Endocrine Society Clinical Practice Guideline

Lynnette K. Nieman et al.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2015)

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Article Endocrinology & Metabolism

Endonasal endoscopic transsphenoidal pituitary surgery: early experience and outcome in paediatric Cushing's disease

Helen L. Storr et al.

CLINICAL ENDOCRINOLOGY (2014)

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Article Clinical Neurology

Incidence and Significance of Intraoperative Cerebrospinal Fluid Leak in Endoscopic Pituitary Surgery Using Intrathecal Fluorescein

Dejan Jakimovski et al.

WORLD NEUROSURGERY (2014)

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Article Endocrinology & Metabolism

Long-term remission and recurrence rates in Cushing's disease: predictive factors in a single-centre study

Krystallenia I. Alexandraki et al.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2013)

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Article Endocrinology & Metabolism

Endoscopic transsphenoidal pituitary surgery: a good and safe primary treatment option for Cushing's disease, even in case of macroadenomas or invasive adenomas

M. A. E. M. Wagenmakers et al.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2013)

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Article Clinical Neurology

Use of the histological pseudocapsule in surgery for Cushing disease: rapid postoperative cortisol decline predicting complete tumor resection Clinical article

Stephen J. Monteith et al.

JOURNAL OF NEUROSURGERY (2012)

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Review Oncology

The pseudocapsule surrounding a pituitary adenoma and its clinical significance

Xin Qu et al.

JOURNAL OF NEURO-ONCOLOGY (2011)

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Article Clinical Neurology

Long-term results after microsurgery for Cushing disease: experience with 426 primary operations over 35 years

Bernd Markus Hofmann et al.

JOURNAL OF NEUROSURGERY (2008)

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Article Clinical Neurology

Development of a histological pseudocapsule and its use as a surgical capsule in the excision of pituitary tumors

EH Oldfield et al.

JOURNAL OF NEUROSURGERY (2006)

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Article Endocrinology & Metabolism

Long-term remission rates after pituitary surgery for Cushing's disease: the need for long-term surveillance

AB Atkinson et al.

CLINICAL ENDOCRINOLOGY (2005)

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Article Endocrinology & Metabolism

Dynamics of serum cortisol levels after transsphenoidal surgery in a cohort of patients with Cushing's disease

GAFS Rollin et al.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2004)

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Article Endocrinology & Metabolism

Long-term predictive value of postsurgical cortisol concentrations for cure and risk of recurrence in Cushing's disease

AM Pereira et al.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2003)

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Article Endocrinology & Metabolism

Undetectable postoperative cortisol does not always predict long-term remission in Cushing's disease: a single centre audit

LB Yap et al.

CLINICAL ENDOCRINOLOGY (2002)

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Endoscopic Transsphenoidal Surgery with a Layered Peel Strategy for Cushing's Disease Treatment: A Case Series

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