Table 4 Characteristics and rare genetic alterations of affected members from the other FIPA families.

From: Aryl hydrocarbon receptor interacting protein and syndromic gene variants detected in Turkish isolated pituitary adenoma families by whole exome sequencing

Index case number

Sex (F/M)/ Age at diagnosis (yrs)

Adenoma type/size (mm)

Treatment modality(s)

Follow-up period (months)

Latest status

(remaining adenoma size, mm)

Confirmed genetic variant(s)

(1) Index

Relative

F/23

Sister/20

PRL-secreting/9

PRL-secreting/9

DA

DA

2

24

Controlled by CAB

Controlled by CAB (4 mm)

NR5A1(SF1)

PKD1

(2) Index

Relative

M/22

Mother/43

GH-secreting/15

GH-secreting/20

3TSS + RT + Medical

3TSS + RT + Medical

192

178

Controlled with combination of SRL + DA + PEGV (no rest tissue)

Controlled with combination of SRL + DA

Thyroid carcinoma

Deceased from Covid-19 infection

TINF2

ATP2B3

(3) Index

Relative

M/33

Sister/35

GH-secreting/14

GH-secreting/10

TSS

TSS

120

132

Postoperative remission (no rest tissue)

Postoperative remission (no rest tissue)

RUNX2

(4) Index

Relative

M/59

Daughter/41

PRL-secreting/22

PRL-secreting/15

DA

DA

90

24

Remission since 62 months (no rest tissue)

Controlled by CAB (10 mm)

LGALS3

DRD4

(5) Index

Relative

F/27

Brother/29

PRL-secreting/6

PRL-secreting/37

DA

DA

48

36

She has been breastfeeding her second baby for 12 months without any problems.

Lost for follow-up.

SYTL3

(8) Index

Relative

F/38

F-Cousin/63

GH-secreting/18

GH-secreting/15

TSS + SRL

TSS

108

144

Drug-free remission for 12 months

Postoperative remission (no tumor)

BRAF

(9) Index

Relative

M/51

Daughter

PRL-secreting/15

PRL-secreting/15

DA

DA

84

48

Controlled by DA (2 mm)

Controlled by DA (6 mm)

RUNX2

(10) Index

Relative

M/32

Father/45

GH-secreting/6

GH-secreting/18

Medical (DA, SRL)

TSS

60

228

Controlled with SRL (no tumor)

Postoperative blindness, hypopituitarism,

Thyroid carcinoma

Deceased from Covid-19 infection

APC

(11) Index

Relative

F/47

F- Cousin/40

GH-secreting/12

PRL-secreting/11

Medical (SRL)

Medical (DA)

12

72

Under control with SRL; DA was discontinued at menopause

RARB

SYTL3

(15) Index

Relative

F/42

Uncle/70

ACTH-secreting/12

NFA*/NA

TSS

TCS

120

NA

Postoperative remission (no tumor)

Deceased

RARB

(16) Index

Relative

M/60

M-Cousin/49

PRL-secreting/45

GH-secreting/25

DA

TSS + RT + Medical

96

60

Under control with DA (10 mm)

Under control with DA + SRL (17 mm)

DRD3

(18) Index

Relative

F/19

M-Cousin/37

PRL-secreting/18

GH-secreting/14

DA

TSS

252

108

Drug-free remission for 204 months (no tumor)

Postoperative remission (no tumor)

NPR2

(19) Index

Relative

M/36

Brother/55

ACTH-secreting/6

Gonadotrophinoma/40

TSS

TSS + RT

132

84

Postoperative remission (no tumor)

Central hypothyroidism (20 mm stable residual adenoma)

PTTG1

  1. DA, Dopamine agonist; TCS, Transcranial surgery; TSS, transsphenoidal surgery; SRL, Somatostatin receptor ligand; PEGV, Pegvisomant; RT, Radiotherapy.