Pituitary Macroadenomas Questions & Answers

Updated: Mar 23, 2018
  • Author: James R Mulinda, MD, FACP; Chief Editor: George T Griffing, MD  more...
  • Print
Questions & Answers

Overview

What are pituitary macroadenomas?

How are pituitary macroadenomas diagnosed and treated?

What is the pathophysiology of pituitary macroadenomas?

What is the prevalence of pituitary macroadenomas in the US?

What is the morbidity associated with pituitary macroadenomas?

What are the racial predilections of pituitary macroadenomas?

What are the sexual predilections of pituitary macroadenomas?

Which age groups have the highest prevalence of pituitary macroadenomas?

Presentation

Which clinical history findings are characteristic of pituitary macroadenomas?

Which clinical history findings are characteristic of corticotropin excess in pituitary macroadenomas?

Which clinical history findings are characteristic of thyrotropin excess in pituitary adenomas?

Which clinical history findings are characteristic of excess growth hormone in pituitary adenomas?

Which clinical history findings are characteristic of gonadotropinoma?

What are the cerebrovascular signs and symptoms of pituitary adenomas?

What causes pituitary apoplexy in pituitary adenomas?

What causes Nelson syndrome in pituitary adenomas?

Which physical findings are characteristic of pituitary macroadenomas?

What causes pituitary macroadenomas?

DDX

What are the differential diagnoses for Pituitary Macroadenomas?

Workup

What is the role of lab studies in the diagnosis of pituitary macroadenomas?

What is the role of imaging studies in the diagnosis of pituitary macroadenomas?

What is the role of vision field testing in the diagnosis of pituitary macroadenomas?

Which histologic findings are characteristic of pituitary macroadenomas?

Treatment

What is the medical treatment for pituitary macroadenomas?

What is the efficacy of radiation therapy for the treatment for pituitary macroadenomas?

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

Which specialist consultations are beneficial to patients with pituitary macroadenomas?

Guidelines

What are the guidelines in the management of aggressive pituitary macroadenomas?

Medications

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

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

Which medications in the drug class Growth hormone receptor antagonists are used in the treatment of Pituitary Macroadenomas?

Which medications in the drug class Dopaminergic agents are used in the treatment of Pituitary Macroadenomas?

Follow-up

What is included in long-term monitoring of pituitary macroadenomas?

What is included in inpatient care for pituitary macroadenomas?

Which medications are used in the treatment of pituitary macroadenomas?

What are the possible complications of pituitary macroadenomas?

What is the prognosis of pituitary macroadenomas?

Where can patient education resources for pituitary macroadenomas be found?