PRL (Prolactin)

P=N/A, N=152, Not yet recruiting, Beijing Anding Hospital,Capital Medical University; Beijing Anding Hospital,Capital Medical University

Tumor-endothelial cell proliferative interaction is specific to PRL-secreting and non-functioning PitNETs. These findings suggest that digital analysis of MIB1 and VEGF expression may serve as a valuable tool for risk stratification in PitNETs.

Dopamine agonist (DA) cabergoline (0.25 mg twice weekly) was initiated, and serum prolactin levels reached 3941 ng/mL (SI: 171.3 nmol/L) after 2 doses...Our case and review of 7 published cases of DA-induced pneumocephalus highlights male predominance, median tumor size of 5.5 cm (range, 4-9.5 cm), and onset within 1 to 12 weeks of initiation of DA therapy. Hence, for giant prolactinomas after DA initiation, it is essential to recognize the symptom complex associated with this rare life-threatening complication, pneumocephalus, and offer emergency surgical intervention.

This alignment underscores the model's practical reliability and its potential to reduce subjective variability in surgical decision-making. By providing a reproducible and clinically consistent framework, the proposed AI-based system represents a meaningful advancement toward the validated integration of computational decision tools into routine gynecological practice.

On the other hand, early radiological tumor shrinkage may predict favorable treatment outcomes. However, new markers of DA resistance, particularly molecular ones, should be identified.

P=N/A, N=180, Recruiting, Hospices Civils de Lyon | Not yet recruiting --> Recruiting

The study found that mifepristone treatment significantly reduced serum CA125 and PRL levels, and the 20 mg/kg/day dose was most effective in improving pregnancy outcomes. These findings suggest that mifepristone can reduce key biomarkers associated with uterine adenomyosis and improve fertility outcomes, offering a promising treatment option for women suffering from this condition.

IL-1 inhibitors, such as anakinra, rilonacept, and canakinumab, have been introduced as adjunctive treatments...The control group consisted of patients receiving colchicine treatment only...However, differences were noted in FSH, total testosterone, and GH levels, with higher FSH and GH in the control group and higher testosterone in the experimental group. Although IL-1 plays a role in hormone secretion pathways, further studies are needed to better understand the effect of IL-1 antagonists on pituitary function, as no significant adrenal or pituitary insufficiencies were observed.

Monitoring PRL levels intraoperatively may be a useful biomarker aiding surgeon's assessment of the extent of tumor resection and guide surgical decision-making. Further refinement of the immunoassay assay and clinical testing with more extensive prospective studies are needed.

Este estudio proporciona el primer vínculo mecanístico entre los niveles de prolactina durante el embarazo y el aumento de la agresividad del CRC a través de la señalización JAK2/STAT3 y JAG1/NOTCH1. También sugerimos una nueva dirección terapéutica al demostrar que la PRL sensibiliza las células de CRC a la apoptosis inducida por TRAIL. En conjunto, el estudio subraya la necesidad de nuevas estrategias terapéuticas para el tratamiento seguro y eficaz del CRC en pacientes embarazadas.

First-line medical management includes dopamine agonists such as cabergoline and bromocriptine. The dilemma between medical management and surgical management occurs during initial presentation of giant prolactinoma with VF defect. Our case report highlights the challenges and complications encountered in the treatment of a patient with giant prolactinoma.

The model's ROC curve area was 0.888, and Hosmer-Lemeshow test confirmed good accuracy (χ2 = 12.673, P = 0.124). Serum PRL and fT4 levels significantly correlate with prolactinoma malignancy degree and influence patient prognosis.