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Natural history and surgical outcomes of Rathke’s cleft cysts: a spanish multicenter study

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http://hdl.handle.net/2183/40993
Creative Commons Attribution 4.0 International License (CC-BY 4.0)
A non ser que se indique outra cousa, a licenza do ítem descríbese como Creative Commons Attribution 4.0 International License (CC-BY 4.0)
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  • Investigación (FCS) [1295]
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Título
Natural history and surgical outcomes of Rathke’s cleft cysts: a spanish multicenter study
Autor(es)
Menéndez-Torre, Edelmiro Luis
Gutiérrez-Hurtado, Alba
Ollero García-Agulló, María Dolores
Irigaray Echarri, Ana
Martín, Patricia
Parra, Paola
González-Molero, Inmaculada
Araújo-Castro, Marta
Idrobo, Cindy
Moure Rodríguez, María Dolores
Molina, Ana Rosa
Biagetti, Betina
Iglesias, Pedro
Paja Fano, Miguel
Villar-Taibo, Rocío
Pena-Dubra, Alberto
Vicente Delgado, Almudena
Guerrero-Pérez, Fernando
Cordido, Fernando
Aulinas, Anna
Mateu, Manel
Soto González, Alfonso
Data
2024-06-17
Cita bibliográfica
Menéndez-Torre EL, Gutiérrez-Hurtado A, Ollero MD, Irigaray A, Martín P, Parra P, González-Molero I, Araujo-Castro M, Idrobo C, Moure MD, Molina AR, Biagetti B, Iglesias P, Paja M, Villar-Taibo R, Pena A, Vicente A, Guerrero-Pérez F, Cordido F, Aulinas A, Mateu M, Soto A. Natural history and surgical outcomes of Rathke’s cleft cysts: a spanish multicenter study. Front. Endocrinol. 2024 Jun 17;5:1413810.
Resumo
[Abstract] Rathke’s cleft cysts (RCC) are a common type of lesion found in the sellar or suprasellar area. They are usually monitored clinically, but in some cases, surgery may be required. However, their natural progression is not yet well understood, and the outcomes of surgery are uncertain. The objective of this study is to evaluate the natural history of Rathke’s cleft cysts in patients who are clinically monitored without treatment, and to determine the outcomes of surgery and the incidence of recurrences over time. Design and patients: National multicentric study of patients diagnosed of Rathke’s cleft cyst (RCC- Spain) from 2000 onwards and followed in 15 tertiary centers of Spain. A total of 177 patients diagnosed of RCC followed for 67.3 months (6–215) and 88 patients who underwent surgery, (81 patients underwent immediate surgery after diagnosis and 7 later for subsequent growth) followed for 68.8 months (3–235). Results: The cyst size remained stable or decreased in 73.5% (133) of the patients. Only 44 patients (24.3%) experienced a cyst increase and 9 of them (5.1%) experienced an increase greater than 3 mm. In most of the patients who underwent surgery headaches and visual alterations improved, recurrence was observed in 8 (9.1%) after a median time of 96 months, and no predictors of recurrence were discovered. Conclusions: Rathke’s cleft cysts without initial compressive symptoms have a low probability of growth, so conservative management is recommended. Patients who undergo transsphenoidal surgery experience rapid clinical improvement, and recurrences are infrequent. However, they can occur after a long period of time, although no predictors of recurrence have been identified.
Palabras chave
Rathke's cleft cyst
Pituitary
Transsphenoidal surgery
Cyst size
Visual impairment
 
Versión do editor
https://doi.org/10.3389/fendo.2024.1413810
Dereitos
Creative Commons Attribution 4.0 International License (CC-BY 4.0)
ISSN
1664-2392

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