Clinical - Hormonal, Imaging and Immune - Histochemical Features of Inactive Pituitary Adenomas with Recurrent and Stable Course
- DOI
- 10.2991/978-94-6463-984-1_10How to use a DOI?
- Keywords
- Inactive pituitary adenomas; Relapsing course; Stable flow; Transcription factors; Diagnostics
- Abstract
Inactive pituitary adenoma (IPA) or “Silent Pituitary Adenomas” refers to tumors that secrete one or more hormones or their transcription factors (TFs), detected by immunohistochemistry (IHC), but the amount of hormones expressed is not has clinical significance and is not expressed by symptom complexes [2]. This research aims to analyze in a comparative aspect the clinical, hormonal, imaging and IHC features of inactive pituitary adenomas with a recurrent and stable course. In total, the data of 100 patients with IPA were analyzed: group 1 included 50 patients with a recurrent course, group 2 included 50 patients with a stable course. The result shows both groups were predominantly men under 45 years of age. In the group with a recurrent course, nausea (46% vs. 4.0%; OR 9.80; 95% CI 3.06-31.4; p < 0.0001) and dizziness (46.0% vs. 20.0%; OR 3.41; 95% CI 1.40-8.29; p = 0.006) were significantly more common than in the group with a stable course. Along with this, in the group with a recurrent course of the disease, endocrine (100% versus 92.0%) and general somatic (100% versus 76.0%) disorders predominated. A comparative analysis showed that significant factors in the epigenetic modification of the risk of relapse are stress (OR 17.5; 95% CI 6.31-48.4; p < 0.0001), brain injury (OR 3.02; 95% CI 1 .27-7.21; p = 0.01), obesity (OR 4.89; 95% CI 1.76-13.6; p = 0.002) and emotional stress (OR 2.79; 95% CI 1, 11-7.01; p = 0.03).
- Copyright
- © 2025 The Author(s)
- Open Access
- Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.
Cite this article
TY - CONF AU - Kholova Dilorom Sharifovna AU - Hamrayeva Dilafruz Ismatullo Qizi AU - Khikmatullaeva Rakshona Alisherovna AU - Razakova Shokhsanam Tulkinovna AU - Khasanova Gulhayo Sayphiddin Qizi PY - 2025 DA - 2025/12/26 TI - Clinical - Hormonal, Imaging and Immune - Histochemical Features of Inactive Pituitary Adenomas with Recurrent and Stable Course BT - Proceedings of the Turakulov Readings 2025 Conference (TR 2025) PB - Atlantis Press SP - 92 EP - 102 SN - 2468-5739 UR - https://doi.org/10.2991/978-94-6463-984-1_10 DO - 10.2991/978-94-6463-984-1_10 ID - Sharifovna2025 ER -