title: Therapeutic innovations in endocrine diseases - part 3 : temozolomide and future therapeutics for aggressive pituitary tumors and carcinomas.
abstract: Pituitary tumors are the most frequent intracranial tumor and classically considered as benign. However, clinical evidence and recent advances in pathological and molecular analyses suggest that these tumors should be considered as more than a simple endocrine disorder. Descriptions of aggressive pituitary tumors and pituitary carcinomas have increased notably over the last decade following the first report on the successful treatment of pituitary carcinomas using temozolomide. This alkylating agent, widely used to treat glioblastoma, is now the first-line treatment for pituitary tumors resistant to conventional therapies. However, only 40 to 50% of pituitary tumors are sensitive to this treatment. Here, we review results of temozolomide treatment in this indication and discuss the interest of different prognostic markers and perspectives for new therapeutics.
authors.affiliation: Hospices civils de Lyon, fédération d'endocrinologie, groupement hospitalier Est, 59, boulevard Pinel, 69677 Lyon, France; Université Lyon 1, 69372 Lyon, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Lasolle
authors.affiliation: Hospices civils de Lyon, fédération d'endocrinologie, groupement hospitalier Est, 59, boulevard Pinel, 69677 Lyon, France; Université Lyon 1, 69372 Lyon, France; Cancer center of Lyon, Inserm U1052, CNRS UMR5286, signaling, metabolism and tumor progression, 69372 Lyon, France. Electronic address: gerald.raverot@chu-lyon.fr.
authors.forename: Gérald
authors.initials: G
authors.lastname: Raverot
mesh_terms: D018906:Antineoplastic Agents, Alkylating / Q000627:therapeutic use*; D002277:Carcinoma / Q000188:drug therapy*; D003606:Dacarbazine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D005544:Forecasting; D006801:Humans; D010911:Pituitary Neoplasms / Q000188:drug therapy*; D000077204:Temozolomide
chemical_list: D018906:Antineoplastic Agents, Alkylating; D003606:Dacarbazine; D000077204:Temozolomide