Indications and outcomes of the extended endoscopic endonasal approach for the removal of "unconventional" suprasellar pituitary neuroendocrine tumors

This is the largest series in the literature describing indications and outcome expectations of the ETTA for the removal of unconventional suprasellar PitNETs. Tumor size, shape, and consistency did not represent a limitation to favorable surgical outcomes. The difficulty in achieving total removal of unconventional PitNETs, especially in the presence of vessel encasement and recurrent lesions, should raise the awareness of the increased risk of suprasellar tumor remnant apoplexy and arterial vasospasm, particularly in tumors with subarachnoid invasion.

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Publication Details

Journal
Journal of neurosurgery
Published
2025-03-29
DOI
https://doi.org/10.3171/2024.11.jns242484
Citations
5
Primary Topic
Pituitary Gland Disorders and Treatments
Type
article
Field-Weighted Citation Impact
6.47
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article

Indications and outcomes of the extended endoscopic endonasal approach for the removal of "unconventional" suprasellar pituitary neuroendocrine tumors

Ilaria Bove, Domenico Solari, Diego Mazzatenta, Stephanie Kim Cheok et al.
5 citations
Journal of neurosurgery
Pituitary Gland Disorders and Treatments
6.47
article

Indications and outcomes of the extended endoscopic endonasal approach for the removal of "unconventional" suprasellar pituitary neuroendocrine tumors

Ilaria Bove, Domenico Solari, Diego Mazzatenta, Stephanie Kim Cheok, Elena d’Avella, Daniel F. Kelly, Garni Barkhoudarian, Matteo Zoli, Gianluca Lorenzo Fabozzi, Paolo Cappabianca, Gabriel Zada, Luigi Maria Cavallo
article en
5 citations

Abstract

This is the largest series in the literature describing indications and outcome expectations of the ETTA for the removal of unconventional suprasellar PitNETs. Tumor size, shape, and consistency did not represent a limitation to favorable surgical outcomes. The difficulty in achieving total removal of unconventional PitNETs, especially in the presence of vessel encasement and recurrent lesions, should raise the awareness of the increased risk of suprasellar tumor remnant apoplexy and arterial vasospasm, particularly in tumors with subarachnoid invasion.

Journal of neurosurgeryVol. 143(1)
University of Southern California (US), Saint John's Health Center (US), Istituto delle Scienze Neurologiche di Bologna (IT), University of Naples Federico II (IT), University of Bologna (IT)
Good health and well-being
Openalex Percentile: Top 4%
Pituitary Gland Disorders and Treatments
6.47
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Indications and outcomes of the extended endoscopic endonasal approach for the removal of "unconventional" suprasellar pituitary neuroendocrine tumors — Ilaria Bove, Domenico Solari, et al. · Journal of neurosurgery (2025) | TGRS Research Map | TGRS