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Prevalence of endocrine and metabolic comorbidities in a national cohort of patients with craniopharyngiomaJazbinšek, Sončka, dr. med. ...Objective: The major part of craniopharyngioma (CP) morbidity is the tumor and/or treatment-related damage, which results in impaired function of the hypothalamic-pituitary axes and metabolic ... derangements. The aim of the study was to analyze the prevalence of long-term endocrine and metabolic comorbidities in a national cohort of CP patients based on the age at diagnosis and histology criteria. Design: A retrospective-prospective longitudinal cohort analysis. Methods: Forty-six patients with CP treated from 1979 onwards (19 with childhood-onset disease) in a single university institution were included in our study. Median follow-up from presentation was 12.8 years (interquartile range: 8.3-22.2 years) and comparable between age-at-diagnosis and histological subtype groups. Data on tumor histology were extracted from patients' records and re-evaluated if tissue samples were available (n = 32). Results: Childhood-onset patients presented more frequently with headache, and adult-onset with visual impairment. Prevalence of at least one pituitary axis affected increased from 54% at presentation to 100% at follow-up in childhood-onset and from 41 to 93% in adult-onset CP. Growth hormone deficiency, central diabetes insipidus, and panhypopituitarism were more prevalent in childhood-onset adamantinomatous CP (aCP) and least prevalent in adult-onset papillary CP (pCP). At follow-up, metabolic syndrome (MetS) was diagnosed in 80% of childhood-onset and 68% of adult-onset patients (p = 0.411). In the latter group, it tended to be more frequent in the aCP than pCP subtype (80 vs. 50%, p = 0.110). Conclusions: Long-term endocrine and metabolic complications are very frequent in childhood- and adult-onset CP patients of both histological subtypes. The prevalence of MetS was higher compared to the largest cohort previously reported.Source: Hormone research in paediatrics. - ISSN 1663-2818 (Vol. 93, no. 1, 2020, str. 46-57)Type of material - article, component part ; adult, seriousPublish date - 2020Language - englishCOBISS.SI-ID - 3518075
Author
Jazbinšek, Sončka, dr. med. |
Kolenc, Danijela |
Bošnjak, Roman |
Faganel Kotnik, Barbara |
Zadravec-Zaletel, Lorna |
Jenko Bizjan, Barbara, 1988- |
Vipotnik-Vesnaver, Tina |
Battelino, Tadej |
Janež, Andrej, 1971- |
Jensterle Sever, Mojca, 1979- |
Kotnik, Primož
Topics
endokrinologija |
presnovne bolezni |
pediatrija |
kraniofaringiom |
endocrinology |
metabolic disease |
paediatrics |
craniopharyngioma
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Database name | Field | Year |
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Jazbinšek, Sončka, dr. med. | 53380 |
Kolenc, Danijela | 52857 |
Bošnjak, Roman | 10511 |
Faganel Kotnik, Barbara | 35916 |
Zadravec-Zaletel, Lorna | 13156 |
Jenko Bizjan, Barbara, 1988- | 35356 |
Vipotnik-Vesnaver, Tina | 51425 |
Battelino, Tadej | 13023 |
Janež, Andrej, 1971- | 18372 |
Jensterle Sever, Mojca, 1979- | 32347 |
Kotnik, Primož | 21358 |
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