Treatment of benign pituitary tumors

The choice of treatment for benign pituitary tumors requires comprehensive consideration of the size and nature of the tumor, the presence of invasiveness, the direction of growth, the relationship with surrounding structures, the availability of surgical conditions, and the experience of the operator, and should emphasize individualized and comprehensive treatment. For example, lactating pituitary tumors can be treated with medications in the early stage, but when the prolactin is less than 500ng/mL, surgery can be considered as well, because surgery can correct the prolactin level. If the prolactin is greater than 500ng/mL, medication cannot control the tumor growth and surgery is required. Treatment with oral medication to lower the prolactin level to normal is also needed after surgery. For other types of pituitary tumors, surgery is the main treatment, but radiotherapy may be considered for larger tumors, patients in poor condition who cannot tolerate surgery, or patients with a history of refusing surgery.