The effects of non-functioning pituitary adenomas on pregnancy.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Özge Baş Aksu, Özgür Demir, Asena Gökçay Canpolat, Demet Çorapçıoğlu
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引用次数: 0

Abstract

Objective: Non-functioning pituitary adenomas (NFPAs) are a group of hormonally inactive adenomas. The aim of this study was to investigate the possible effects of NFPAs on pregnancy.

Material and methods: Thirty patients with NFPAs and without hormone deficiency or excess were included. We retrospectively evaluated anterior pituitary hormone levels, follow-up periods, pituitary imaging findings, symptoms associated with adenoma size increase during pregnancy, adverse pregnancy outcomes, delivery procedures, pregnancy week at delivery, birth weight, and lactation duration.

Results: The mean age of the patients was 41.26±9.06 years, and the mean follow-up after diagnosis was 92.8 months. Seven were diagnosed with macroadenomas (defined as the largest diameter >10 mm) and 23 had microadenomas. There were 92 pregnancies in total. The incidence of nausea-vomiting and visual impairment during pregnancy were more common in the macroadenoma group (p=0.016 and p=0.042, respectively). Spontaneous pregnancy rates were high. The patients with NFPAs did not have an increased risk of pregnancy-related complications compared to the general population, and there were no obvious negative effects on fetal development or lactation. NFPAs were not associated with an increased cesarean section rate.

Conclusion: These findings suggest that NFPAs, even macroadenomatous NFPAs, have no negative effects on pregnancy outcomes, fetal development, or lactation.

无功能垂体腺瘤对妊娠的影响。
目的:无功能垂体腺瘤(Non-functioning adenomas, nfpa)是一类激素无活性的腺瘤。本研究的目的是探讨nfpa对妊娠的可能影响。材料和方法:纳入30例无激素缺乏或过量的nfpa患者。我们回顾性评估垂体前叶激素水平、随访时间、垂体影像学表现、妊娠期间腺瘤增大相关症状、不良妊娠结局、分娩程序、分娩周数、出生体重和哺乳期持续时间。结果:患者平均年龄41.26±9.06岁,确诊后平均随访时间92.8个月。7例诊断为大腺瘤(定义为最大直径bbb10mm), 23例诊断为微腺瘤。总共有92人怀孕。大腺瘤组妊娠期恶心呕吐和视力损害发生率更高(p=0.016和p=0.042)。自然妊娠率高。与一般人群相比,nfpa患者没有增加妊娠相关并发症的风险,对胎儿发育或哺乳没有明显的负面影响。nfpa与剖宫产率增加无关。结论:这些发现提示nfpa,甚至是大性腺瘤性nfpa,对妊娠结局、胎儿发育或哺乳没有负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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