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GUIDELINES & POSITION STATEMENTS

PITUITARY SOCIETY GUIDELINES

A GUIDELINE UPDATE

Cushing's disease requires accurate diagnosis, careful treatment selection, and long-term management to optimise patient outcomes. The Pituitary Society convened a consensus workshop comprising more than 50 academic researchers and clinical experts to discuss the application of recent evidence to clinical practice.

DOES ADENOMA STAND THE TEST OF TIME?

The WHO Classification of EndocrineTumours designates pituitary neoplasms as aden- omas. A proposed nomenclature change to pituitary neuroendocrine tumors (PitNETs) has been met with concern by some stakeholder groups.The Pituitary Society coordin- ated the Pituitary Neoplasm Nomenclature (PANOMEN) workshop to address the topic.

PITUITARY SOCIETY DELPHI SURVEY

Purpose In adults and children, transsphenoidal surgery (TSS) represents the cornerstone of management for most large or functioning sellar lesions with the exception of prolactinomas. Endocrine evaluation and management are an essential part of perioperative care. However, the details of endocrine assessment and care are not universally agreed upon.

PITUITARY SOCIETY EXPERT DELPHI CONSENSUS

Purpose Surgical workflow analysis seeks to systematically break down operations into hierarchal components. It facilitates education, training, and understanding of surgical variations. There are known educational demands and variations in surgi- cal practice in endoscopic transsphenoidal approaches to pituitary adenomas. Through an iterative consensus process, we generated a surgical workflow reflective of contemporary surgical practice.

ABSTRACT

Guidelines and consensus statements ensure that physicians managing acromegaly patients have access to current information on evidence-based treatments to optimize outcomes. Given significant novel recent advances in understanding acromegaly natural history and individualized therapies, the Pituitary Society invited acromegaly experts to critically review the current literature in the context of Endocrine Society guidelines and Acromegaly Consensus Group statements. This update focuses on how recent key advances affect treatment decision-making and outcomes, and also highlights the likely role of recently FDA-approved therapies as well as novel combination therapies within the treatment armamentarium.

AN INTERNATIONAL PERSPECTIVE

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the viral strain that has caused the coronavirus disease 2019 (COVID-19) pandemic, has presented healthcare systems around the world with an unprecedented challenge. In loca- tions with significant rates of viral transmission, social distancing measures and enforced ‘lockdowns’ are the new ‘norm’ as governments try to prevent healthcare services from being overwhelmed.

PITUITARY SOCIETY POSITION STATEMENT

Anterior pituitary tumors arising from oral ectoderm-derived differentiated hormone-expressing lineages are classified according to cell type, size, location, secretory function and neoplastic behavior. The pathological classification of pituitary tumors has been driven by advances in physiology, cell biology and genetics.

A PITUITARY SOCIETY SURVEY

Abstract. Purpose In view of mounting attention related to possible brain retention of gadolinium-based contrast agents (GBCAs) in patients with normal renal function, our purpose was to detail results from a survey of pituitary experts to assess: 1) the timing interval and frequency of pituitary magnetic resonance imaging (MRI) following surgical and/or medical and/or radiation therapy of pituitary tumors, 2) awareness of the types of GBCAs used and their possible safety issues.

A PITUITARY SOCIETY STATEMENT

Introduction. With the goal of generating uniform criteria among centers dealing with pituitary tumors and to enhance patient care, the Pituitary Society decided to generate criteria for developing Pituitary Tumors Centers of Excellence (PTCOE).

OPEN ACCESS

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