Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay
Background: Pituitary incidentalomas are an occurrence documented in 10.6% of post-mortem examinations, 4%-20% of computed tomography (CT) scans, and 10%-38% of magnetic resonance imaging (MRI) cases, primarily consisting of microincidentalomas (<1 cm in size). However, the prevalence of pituitary i...
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| Format: | article |
| Language: | English |
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2023
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| Online Access: | https://hdl.handle.net/20.500.12008/53862 |
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| _version_ | 1868890163039436800 |
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| author | Piñeyro, María M. |
| author2 | Sosa, Natalia Rivero, Florencia Tripodi, Diego Negrotto, Matías Lima, Ramiro |
| author2_role | author author author author author |
| author_browse | Lima, Ramiro Negrotto, Matías Piñeyro, María M. Rivero, Florencia Sosa, Natalia Tripodi, Diego |
| author_facet | Piñeyro, María M. Sosa, Natalia Rivero, Florencia Tripodi, Diego Negrotto, Matías Lima, Ramiro |
| author_role | author |
| collection | COLIBRI |
| dc.contributor.none.fl_str_mv | Piñeyro María M., Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y Metabolismo Sosa Natalia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y Metabolismo Rivero Florencia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y Metabolismo Tripodi Diego, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento Clínico de Imagenología Negrotto Matías, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento Clínico de Imagenología Lima Ramiro, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento de Neurocirugía |
| dc.coverage.none.fl_str_mv | URUGUAY 2017 |
| dc.creator.none.fl_str_mv | Piñeyro, María M. Sosa, Natalia Rivero, Florencia Tripodi, Diego Negrotto, Matías Lima, Ramiro |
| dc.date.none.fl_str_mv | 2023 2026-03-13T15:04:16Z 2026-03-13T15:04:16Z |
| dc.format.none.fl_str_mv | 7 p. application/pdf |
| dc.identifier.none.fl_str_mv | Piñeyro M, Sosa N, Rivero F y otros. Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay. Frontiers in Endocrinology [en línea]. 2023;14 https://hdl.handle.net/20.500.12008/53862 10.3389/fendo.2023.1254180 1664-2392 |
| dc.language.none.fl_str_mv | en eng |
| dc.publisher.none.fl_str_mv | Frontiers Media |
| dc.relation.none.fl_str_mv | Frontiers in Endocrinology. 2023;14 |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess Licencia Creative Commons Atribución (CC - By 4.0) |
| dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
| dc.subject.none.fl_str_mv | Head imaging Headaches Image Pituitary adenoma Pituitary incidentaloma Prevalence Sellar mass ADULTO PERSONA DE MEDIANA EDAD MUJERES HOSPITALES DE ENSEÑANZA ANCIANO NEOPLASIAS HIPOFISIARIAS PROLACTINOMA HOMBRES DIAGNÓSTICO POR IMAGEN PREVALENCIA ESTUDIOS RETROSPECTIVOS EPIDEMIOLOGÍA CEFALEA |
| dc.title.none.fl_str_mv | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| dc.type.none.fl_str_mv | Artículo info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| description | Background: Pituitary incidentalomas are an occurrence documented in 10.6% of post-mortem examinations, 4%-20% of computed tomography (CT) scans, and 10%-38% of magnetic resonance imaging (MRI) cases, primarily consisting of microincidentalomas (<1 cm in size). However, the prevalence of pituitary incidentalomas in Uruguay remains unexplored. This study aimed to ascertain the prevalence of pituitary incidentalomas at our hospital. Methods: In this investigation, we retrospectively identified patients who underwent brain CT and MRI at our hospital over a 1-year span due to conditions other than suspected or known pituitary disorders. The time frame covered was from 1 January to 31 December 2017. Our analysis encompassed all scans, and we conducted interviews with patients discovered to have pituitary incidentalomas. Furthermore, we conducted biochemical assessments in accordance with clinical and imaging traits. Results: During the study period, a total of 3,894 patients underwent imaging procedures. Of these, 1,146 patients underwent MRI scans, and 2,748 underwent CT scans. The mean age was 53.1 ± 19 years, with a relatively even distribution between genders (50.6% women). The majority of imaging requisitions originated from the emergency department (43%), followed by outpatient clinics (29%), and inpatient wards (28%). Common reasons for imaging requests included trauma (20.4%), headaches (11.3%), and stroke (10.9%). Among these cases, two pituitary incidentalomas were detected, resulting in a prevalence of 5 cases per 10,000 individuals annually (0.051%). Both of these cases were initially identified through CT scans, with subsequent MRI scans performed for further assessment. The final diagnoses were a vascular aneurysm and a sellar meningioma, with the latter patient also exhibiting secondary hypothyroidism. Notably, no instances of pituitary adenomas were encountered. Conclusions: The prevalence of pituitary incidentalomas within our hospital was notably low. Further research is necessary to more comprehensively investigate the occurrence of pituitary incidentalomas in our country. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_add737d879048c63eb8820d3bdfd21d6 |
| identifier_str_mv | Piñeyro M, Sosa N, Rivero F y otros. Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay. Frontiers in Endocrinology [en línea]. 2023;14 10.3389/fendo.2023.1254180 1664-2392 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | eng |
| language_invalid_str_mv | en |
| network_acronym_str | anni |
| network_name_str | oai-lr-anni |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/53862 |
| publishDate | 2023 |
| publishDateSort | 2023 |
| publisher.none.fl_str_mv | Frontiers Media |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | Licencia Creative Commons Atribución (CC - By 4.0) |
| spelling | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in UruguayPiñeyro, María M.Sosa, NataliaRivero, FlorenciaTripodi, DiegoNegrotto, MatíasLima, RamiroHead imagingHeadachesImagePituitary adenomaPituitary incidentalomaPrevalenceSellar massADULTOPERSONA DE MEDIANA EDADMUJERESHOSPITALES DE ENSEÑANZAANCIANONEOPLASIAS HIPOFISIARIASPROLACTINOMAHOMBRESDIAGNÓSTICO POR IMAGENPREVALENCIAESTUDIOS RETROSPECTIVOSEPIDEMIOLOGÍACEFALEABackground: Pituitary incidentalomas are an occurrence documented in 10.6% of post-mortem examinations, 4%-20% of computed tomography (CT) scans, and 10%-38% of magnetic resonance imaging (MRI) cases, primarily consisting of microincidentalomas (<1 cm in size). However, the prevalence of pituitary incidentalomas in Uruguay remains unexplored. This study aimed to ascertain the prevalence of pituitary incidentalomas at our hospital. Methods: In this investigation, we retrospectively identified patients who underwent brain CT and MRI at our hospital over a 1-year span due to conditions other than suspected or known pituitary disorders. The time frame covered was from 1 January to 31 December 2017. Our analysis encompassed all scans, and we conducted interviews with patients discovered to have pituitary incidentalomas. Furthermore, we conducted biochemical assessments in accordance with clinical and imaging traits. Results: During the study period, a total of 3,894 patients underwent imaging procedures. Of these, 1,146 patients underwent MRI scans, and 2,748 underwent CT scans. The mean age was 53.1 ± 19 years, with a relatively even distribution between genders (50.6% women). The majority of imaging requisitions originated from the emergency department (43%), followed by outpatient clinics (29%), and inpatient wards (28%). Common reasons for imaging requests included trauma (20.4%), headaches (11.3%), and stroke (10.9%). Among these cases, two pituitary incidentalomas were detected, resulting in a prevalence of 5 cases per 10,000 individuals annually (0.051%). Both of these cases were initially identified through CT scans, with subsequent MRI scans performed for further assessment. The final diagnoses were a vascular aneurysm and a sellar meningioma, with the latter patient also exhibiting secondary hypothyroidism. Notably, no instances of pituitary adenomas were encountered. Conclusions: The prevalence of pituitary incidentalomas within our hospital was notably low. Further research is necessary to more comprehensively investigate the occurrence of pituitary incidentalomas in our country.Frontiers MediaPiñeyro María M., Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y MetabolismoSosa Natalia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y MetabolismoRivero Florencia, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Clínica de Endocrinología y MetabolismoTripodi Diego, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento Clínico de ImagenologíaNegrotto Matías, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento Clínico de ImagenologíaLima Ramiro, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas, Departamento de Neurocirugía2026-03-13T15:04:16Z2026-03-13T15:04:16Z2023Artículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion7 p.application/pdfPiñeyro M, Sosa N, Rivero F y otros. Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay. Frontiers in Endocrinology [en línea]. 2023;14https://hdl.handle.net/20.500.12008/5386210.3389/fendo.2023.12541801664-2392reponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaenengFrontiers in Endocrinology. 2023;14URUGUAY2017Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)oai:colibri.udelar.edu.uy:20.500.12008/538622026-04-14T10:28:27Z |
| spellingShingle | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay Piñeyro, María M. Head imaging Headaches Image Pituitary adenoma Pituitary incidentaloma Prevalence Sellar mass ADULTO PERSONA DE MEDIANA EDAD MUJERES HOSPITALES DE ENSEÑANZA ANCIANO NEOPLASIAS HIPOFISIARIAS PROLACTINOMA HOMBRES DIAGNÓSTICO POR IMAGEN PREVALENCIA ESTUDIOS RETROSPECTIVOS EPIDEMIOLOGÍA CEFALEA |
| status_str | publishedVersion |
| title | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| title_full | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| title_fullStr | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| title_full_unstemmed | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| title_short | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| title_sort | Strikingly low prevalence of pituitary incidentalomas in a teaching hospital in Uruguay |
| topic | Head imaging Headaches Image Pituitary adenoma Pituitary incidentaloma Prevalence Sellar mass ADULTO PERSONA DE MEDIANA EDAD MUJERES HOSPITALES DE ENSEÑANZA ANCIANO NEOPLASIAS HIPOFISIARIAS PROLACTINOMA HOMBRES DIAGNÓSTICO POR IMAGEN PREVALENCIA ESTUDIOS RETROSPECTIVOS EPIDEMIOLOGÍA CEFALEA |
| url | https://hdl.handle.net/20.500.12008/53862 |