Use of Intraoperative Tumor Consistency Grading to Guide Resection Technique of Pituitary Neuroendocrine Tumors

Benjamin Fixman; Kevin G. Liu; Apurva Prasad; Ishan Shah; Gage Guerra; David J. Cote; Racheal Peterson; ROBERT G. BRIGGS; Gabriel Zada; Benjamin Fixman; Kevin G. Liu; Apurva Prasad; Ishan Shah; Gage Guerra; David J. Cote; Racheal Peterson; ROBERT G. BRIGGS; Gabriel Zada

doi:10.1227/ons.0000000000001849

Key Points

To assess the relationship between pituitary neuroendocrine tumor consistency and intraoperative resection strategy.
Retrospective study of 345 patients who underwent resection of pituitary neuroendocrine tumors
Variables collected included tumor consistency, resection technique, Knosp cavernous sinus invasion score, and complications
Univariable and multivariable analyses performed to determine associations between resection techniques
Extracapsular resection was used in 23 patients (7%) and intracapsular resection in 322 patients (93%)
Majority of patients (78.55%) had soft-to-average PitNET with a consistency score of 1-3
ER-resected tumors were on average smaller than IR-resected tumors and had less cavernous sinus invasion

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Implication

Retrospective analysis reveals tumor consistency impacts surgical management in patients with pituitary neuroendocrine tumors, suggesting tailored resection strategies.

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Cite This Study

Fixman et al. (2025) studied this question.

synapsesocial.com/papers/69253a1ec0ce034ddc3570ef https://doi.org/10.1227/ons.0000000000001849

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Use of Intraoperative Tumor Consistency Grading to Guide Resection Technique of Pituitary Neuroendocrine Tumors

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Use of Intraoperative Tumor Consistency Grading to Guide Resection Technique of Pituitary Neuroendocrine Tumors

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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