Pituitary Tumors Questions & Answers

Updated: Jun 11, 2018
  • Author: Jorge C Kattah, MD; Chief Editor: Nicholas Lorenzo, MD, CPE, MHCM, FAAPL  more...
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Questions & Answers

Overview

What are pituitary tumors?

What is the pathophysiology of pituitary tumors?

How are pituitary tumors classified?

What are the clinical effects of growth hormonal deficiencies in pituitary tumors?

What are clinical effects of gonadotrophin deficiency in pituitary tumors?

What are clinical effects of thyrotropin deficiency in pituitary tumors?

What are clinical effects of corticotrophin deficiency in pituitary tumors?

What are clinical effects of panhypopituitarism in pituitary tumors?

What are clinical effects of prolactin overproduction in pituitary tumors?

What are clinical effects of growth hormone overproduction in pituitary tumors?

What are clinical effects of Cushing disease in pituitary tumors?

What is the prevalence of pituitary tumors in the US?

What is the global prevalence of pituitary tumors?

What is the mortality and morbidity associated with pituitary tumors?

What is the sexual predilection of pituitary tumors?

Which age groups have the highest prevalence of pituitary tumors?

Presentation

What are the signs and symptoms of pituitary tumors?

Which physical findings are characteristic of pituitary tumors?

Which neuro-ophthalmologic findings are characteristic of pituitary tumors?

What are the ophthalmoscopic exam findings in patients with pituitary tumors?

Which physical changes are associated with pituitary tumors?

Which physical findings are characteristic of Cushing disease in patients with pituitary tumors?

Which physical findings are characteristic of hypopituitarism in patients with pituitary tumors?

DDX

How are pituitary tumors differentiated from other neoplasms?

Which causes of hyperprolactinemia should be included in the differential diagnoses of pituitary tumors?

What are the differential diagnoses for Pituitary Tumors?

Workup

Which studies are performed to assess a pituitary mass in patients with pituitary tumors?

Which studies are performed to assess prolactinomas in patients with pituitary tumors?

Which studies are performed to assess growth hormone abnormalities in patients with pituitary tumors?

How are Cushing disease and Cushing syndrome diagnosed in patients with pituitary tumors?

How are glycoprotein hormones assessed in patients with pituitary tumors?

What is the role of MRI in the workup of pituitary tumors?

What is the role of CT scanning in the workup of pituitary tumors?

What is the role of cerebral angiography in the workup of pituitary tumors?

Which tests are performed in the workup of pituitary tumors to assess granulomas or infections?

Which procedures may be helpful in the workup of pituitary tumors?

What is the role of a pathologic exam in the diagnosis of pituitary tumors?

Treatment

How are pituitary tumors treated?

What is the role of surgery in the treatment of pituitary tumors?

What is the role of transsphenoidal surgery in the treatment of pituitary tumors?

What is the surgical treatment for prolactinomas in patients with pituitary tumors?

What is the surgical treatment for acromegaly in patients with pituitary tumors?

What is the surgical treatment for Cushing disease in patients with pituitary tumors?

Which specialist consultations are beneficial to patients with pituitary tumors?

Which dietary modifications are used in the treatment of pituitary tumors?

Which activity modifications are used in the treatment of pituitary tumors?

Medications

What is the role of medications in the treatment of pituitary tumors?

Which medications in the drug class Vasopressin analogs are used in the treatment of Pituitary Tumors?

Which medications in the drug class Growth Hormone are used in the treatment of Pituitary Tumors?

Which medications in the drug class Androgens are used in the treatment of Pituitary Tumors?

Which medications in the drug class Estrogen derivatives are used in the treatment of Pituitary Tumors?

Which medications in the drug class Thyroid products are used in the treatment of Pituitary Tumors?

Which medications in the drug class Corticosteroids are used in the treatment of Pituitary Tumors?

Which medications in the drug class Dopamine agonists are used in the treatment of Pituitary Tumors?

Which medications in the drug class Somatostatin analogues are used in the treatment of Pituitary Tumors?

Follow-up

How are patients with pituitary tumors monitored?

When is inpatient care indicated in the treatment of pituitary tumors?

What is included in the inpatient care of patients undergoing transsphenoidal surgery for treatment of pituitary tumors?

How is pituitary apoplexy treated in patients with pituitary tumors?

Which medications are used in the treatment of pituitary tumors?

When is patient transfer indicated in the treatment of pituitary tumors?

What are the possible complications of pituitary tumor treatment?

What is the prognosis of pituitary tumors?

What is included in the long-term monitoring of patients with pituitary tumors?