4 doctors weighed in:

Which is better for pituitary macroadenoma: transsphenoidal surgery or craniotomy?

4 doctors weighed in
Dr. Zachariah George
Neurosurgery
2 doctors agree

In brief: Depends

Assuming it is an operative mass: this really depends on what the tumor looks like on imaging.
Most of these masses can be done via transphenoidal approach with microscope or endoscope. Rarely it gets so large and if the patients medical condition is ok can be done via combined transphenoidal and craniotomy. Patients recover from transphenoidal surgery more quickly than craniotomy.

In brief: Depends

Assuming it is an operative mass: this really depends on what the tumor looks like on imaging.
Most of these masses can be done via transphenoidal approach with microscope or endoscope. Rarely it gets so large and if the patients medical condition is ok can be done via combined transphenoidal and craniotomy. Patients recover from transphenoidal surgery more quickly than craniotomy.
Dr. Zachariah George
Dr. Zachariah George
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Dr. Stanley Schwartz
Internal Medicine - Endocrinology

In brief: Depends on size of

Tumor surgeon is the one that must decide.

In brief: Depends on size of

Tumor surgeon is the one that must decide.
Dr. Stanley Schwartz
Dr. Stanley Schwartz
Thank
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