Pituitary incidentalomas in paediatric age are different from those described in adulthood

Headaches were the main reason that led to image acquisition and MRI was the imaging method that detected the majority of the incidentalomas

Pedro Souteiro; Rúben Maia; Rita Santos-Silva; Rita Figueiredo; Carla Costa; Sandra Belo; Cíntia Castro-Correia; Davide Carvalho; Manuel Fontoura

2019

Scholarcy highlights

  • Headaches were the main reason that led to image acquisition and MRI was the imaging method that detected the majority of the incidentalomas
  • The most prevalent lesion was pituitary hypertrophy, which was mainly diagnosed in female adolescents, followed by arachnoid cysts, pituitary adenomas and Rathke’s cleft cysts
  • To the best of our knowledge, this is the first series of pituitary incidentalomas in pediatric age
  • Comparing our series with those conducted in adults, we have observed a higher preponderance of pituitary hypertrophy over adenomas, a lower prevalence of hormonal hyper/hyposecretion and lower risk of dimensional progression during follow-up
  • P., Maia, R., Santos-Silva, R. et al Pituitary incidentalomas in paediatric age are different from those described in adulthood

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