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Doctor insights on: Transsphenoidal Pituitary Tumor Resection

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How serious is removal of pituitary tumor using transphenoidal procedure and what is recovery time? When can one go home after procedure?

How serious is removal of pituitary tumor using transphenoidal procedure and what is recovery time? When can one go home after procedure?

Well tolerated: The more modern method for pituitary tumor resection is via a transnasal endoscopic approach that is a modification of the transphenoidal approach. Although there are always risks, in experienced hands these risks are very low. Depending on the size/ tenacity of the tumor, patients generally go home in 1-3 days. They should be awake and alert within an hour or two after the surgery. Pain is low. ...Read more

Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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What is a pituitary tumor?

What is a pituitary tumor?

A growth: A pituitary tumor is simply a growth on the pituitary. It's not cancerous but it could cause problems by increasing or decreasing pituitary hormone secretion. It can also cause visual problems if it's big enough. ...Read more

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What medicine helps a pituitary tumor?

Depends: It matters what the pituitary tumor produces. Often, bromocritpine is used for prolactinomas. Discuss with a good endocrinologist. ...Read more

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What are the symptoms of a pituitary tumor?

What are the symptoms of a pituitary tumor?

Subtle: Cuts in the visual field that you won't notice until someone checks you with one eye closed. A woman's periods stopping or becoming irregular. Milk production perhaps. Lost libido. Headaches -- sometimes sudden and catastrophic. Needing bigger gloves. Just feeling run down and being called "neurotic". Weight gain / diabetes / hypertension / moods that get blamed on "lifestyle." bad tumor to miss. ...Read more

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How do we treat pituitary tumors?

How do we treat pituitary tumors?

It depends.: Often a first step is tumor removal (and obtaining a biopsy specimen), now frequently performed as an endoscopic surgery through the sinuses, usually done by both an ENT surgeon and a neurosurgeon. Tumors which make pituitary hormones may shrink or stabilize with oral medication. Large or aggressive tumors may require targeted radiation therapy, e.g. Cyber knife, after (or instead of) surgery. ...Read more

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How do you diagnose pituitary tumors?

MRI and labs: Blood tests can confirm if the tumor is actively producing extra hormones but MRI of the pituitary is the main study to visualize the actual tumor. ...Read more

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Why are pituitary tumors so hard to diagnose?

Why are pituitary tumors so hard to diagnose?

It depends: Fortunately, in the era of modern medicine, diagnosis is typically not all that difficult. Mri is generally quite reliable in diagnosing pituitary tumors. Otherwise, eye exam (visual field testing) and blood hormone tests are important in diagnosing pituitary tumors. Prior to the age of accurate intracranial imaging, these tumors were indeed more difficult to diagnose. ...Read more

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Could my pituitary tumor have made me stop menstruating?

Could my pituitary tumor have made me stop menstruating?

Yes: There is a tumor of the pituitary gland called a prolactinoma which can cause people to stop having periods. It is important to have this evaluated by a physician. It can be treated with a medication called bromocriptine. ...Read more

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Is it possible for you to have babies if you have a pituitary tumor?

Is it possible for you to have babies if you have a pituitary tumor?

Depends on type: Pituitary tumors can be small (micro adenoma) or large (macro adenoma). They can produce dysfunction of the pituitary gland from direct compression, or by secreting different types of hormones. These hormones can potentially interfere with normal hormone release that would adversely affect fertility. It is possible to get pregnant if you have a tumor, if normal pituitary function is restored. ...Read more

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What are the complications involving pituitary tumors? Any help would be greatly appreciated?

More information???: Hi. More information would be helpful. Pituitary tumors can cause problems by: overproduction of a pituitary hormone, harming normal pituitary hormone production (e.g., compressing normal pituitary tissue and/or pituitary stalk), mass effect, visual field disturbances (by compressing the optic chiasm), headache, hemorrhage, etc. ...Read more

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Are pituitary tumors deadly?

Usually not: Pituitary tumors are almost always benign, and most are amenable to surgical excision. Residual tumor is often treated with radiation therapy. Growth of some tumors may be stopped with oral medication. Regardless, some tumors tend to grow, albeit very slowly in general. Revision surgery is sometimes required, and one key to treatment is good surveillance for further growth with periodic mris. ...Read more

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Can a pituitary tumor cause thyroiditis?

Can a pituitary tumor cause thyroiditis?

No: Hi. No, a pituitary tumor can't cause thyroiditis. Pituitary tumors can cause hypothyroidism & hyperthyroidism (by different mechanisms), but can't cause thyroiditis. If both are coexistent, they're independent. All the best! ...Read more

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Can you donate blood with a pituitary tumor?

Can you donate blood with a pituitary tumor?

Probably: Depending upon your symptoms and your hormone evaluation it may be very safe for you to donate blood. You can discuss this further with your primary doctor or your endocrinologist or your neurosurgeon. ...Read more

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Can a pituitary tumor affect a person's period?

Yes: Some of the pituitary hormones control the menstrual cycle and can be inhibited by prolactin from a pituitary tumor. With treatment, the menstrual cycles usually return with this type of problem. Also, with a large tumor, if part or all of the pituitary is injured, menstrual cycles may not return. Large tumors can cause serious problems and almost always need treatment. ...Read more

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What are signs and symptoms of pituitary tumors?

What are signs and symptoms of pituitary tumors?

Depends: Hi. Pituitary tumors are generally benign tumors that produce signs and symptoms by either mass effect and/or hormone production.Mass effect can cause headache, difficulty seeing peripheral visual fields, or destruction of adjacent normal pituitary tissue. Tumors that produce hormones cause classic syndromes. Your endocrinologist will do a diagnostic evaluation and recommend treatment if indicated ...Read more

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What are gonadotropin secreting pituitary tumors?

Pituitary tumors: These are very rare, and secrete high levels of fsh or lh. These hormones stimulate the gonad, so will cause elevated estrogen in a woman, and elevated testosterone in a man. ...Read more

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Is my pituitary tumor affecting my oxytocin levels?

Is my pituitary tumor affecting my oxytocin levels?

Maybe: It depends on which part of the pituitary is affected. The only way to know is to have your levels measured. ...Read more

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Is thirst an after-effect of pituitary tumor removal?

Is thirst an after-effect of pituitary tumor removal?

Yes: Because the normal pituitary gland is rarely clearly identified in surgery, and due to inflammation after surgery, release of the hormone ADH (vasopressin) by the pituitary is often disrupted. Adh, (vasopressin) or anti-diuretic hormone, permits the body to maintain appropriate fluid balance. A low ADH (vasopressin) level causes excess urination, and consequently, thirst. This is usually temporary, but may be a long-term issue. ...Read more

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