Letter to the Editor. Remission of acromegaly after transsphenoidal surgery

Noor ul Huda Maria MBBS, FCPS, PGR1, Fauzia Sajjad FCPS, FRCS2, Qurrat A. Siddiq MBBS, MPhil3, and Noor ul Ain Fatima MBBS, MS4
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  • 1 Punjab Institute of Neurosciences, Lahore, Pakistan
  • | 2 Khwaja Safdar Medical College, Sialkot, Pakistan
  • | 3 Postgraduate Medical Institute/Ameeruddin Medical College, Lahore, Pakistan
  • | 4 Institute of Developmental Sciences, University of Sussex, Brighton, United Kingdom
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Schematics of transseptal interforniceal resection of a superiorly recessed colloid cyst. ©Mark Souweidane, published with permission. See the article by Tosi et al. (pp 813–819).

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  • 1

    Guo X, Zhang R, Zhang D, et al. Determinants of immediate and long-term remission after initial transsphenoidal surgery for acromegaly and outcome patterns during follow-up: a longitudinal study on 659 patients. J Neurosurg. Published online January 14, 2022.doi: 10.3171/2021.11.JNS212137

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  • 2

    Albarel F, Castinetti F, Morange I, et al. Pre-surgical medical treatment, a major prognostic factor for long-term remission in acromegaly. Pituitary. 2018;21(6):615623.

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  • 3

    Margusino-Framiñán L, Pertega-Diaz S, Pena-Bello L, et al. Cost-effectiveness analysis of preoperative treatment of acromegaly with somatostatin analogue on surgical outcome. Eur J Intern Med. 2015;26(9):736741.

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  • 4

    Feelders RA, Bidlingmaier M, Strasburger CJ, et al. Postoperative evaluation of patients with acromegaly: clinical significance and timing of oral glucose tolerance testing and measurement of (free) insulin-like growth factor I, acid-labile subunit, and growth hormone-binding protein levels. J Clin Endocrinol Metab. 2005;90(12):64806489.

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  • 5

    Cardinal T, Collet C, Wedemeyer M, et al. Postoperative GH and degree of reduction in IGF-1 predicts postoperative hormonal remission in acromegaly. Front Endocrinol (Lausanne). 2021;12:743052.

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  • 1

    Katznelson L, Laws ER Jr, Melmed S, et al. Acromegaly: an Endocrine Society Clinical Practice guideline. J Clin Endocrinol Metab. 2014;99(11):39333951.

  • 2

    Melmed S, Bronstein MD, Chanson P, et al. A consensus statement on acromegaly therapeutic outcomes. Nat Rev Endocrinol. 2018;14(9):552561.

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    Giustina A, Barkhoudarian G, Beckers A, et al. Multidisciplinary management of acromegaly: a consensus. Rev Endocr Metab Disord. 2020;21(4):667678.

  • 4

    Nunes VS, Correa JM, Puga ME, et al. Preoperative somatostatin analogues versus direct transsphenoidal surgery for newly-diagnosed acromegaly patients: a systematic review and meta-analysis using the GRADE system. Pituitary. 2015;18(4):500508.

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  • 5

    Polat Korkmaz O, Gurcan M, Nuhoglu Kantarci FE, et al. The effects of pre-operative somatostatin analogue therapy on treatment cost and remission in acromegaly. Pituitary. 2019;22(4):387396.

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  • 6

    Giustina A, Barkan A, Casanueva FF, et al. Criteria for cure of acromegaly: a consensus statement. J Clin Endocrinol Metab. 2000;85(2):526529.

  • 7

    Giustina A, Chanson P, Bronstein MD, et al. A consensus on criteria for cure of acromegaly. J Clin Endocrinol Metab. 2010;95(7):31413148.

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