Which pituitary tumor patients should not be treated with medication?

In the clinic, a large proportion of patients ask what medications they should take to treat pituitary tumors and whether they can be treated with medications. The answer I give them is that pituitary tumor can be treated by medication method. Next, we will explain the common pituitary tumor treatment drug bromocriptine as an example: Bromocriptine is a semi-synthetic ergotamine alkaloid, which can stimulate the dopamine receptors of pituitary cells to reduce the effect of prolactin in blood. Bromocriptine can reduce the size of prolactin adenomas, restore menstruation and ovulation and conception, and suppress pathological breast overflow, but for some patients taking bromocriptine, such problems may occur, and the symptoms may continue to increase after stopping the drug.

For small tumors while not causing pressure on the nerve is generally recommended to take drugs for treatment, but the following patients still need to consider taking gamma knife for treatment: 1, cavernous sinus or skull base invasion of pituitary tumors, postoperative residual recurrence or preferred treatment.

2, drug therapy is ineffective, can not tolerate the side effects of drug therapy or unwilling to surgery patients with pituitary microadenoma.

3.Pituitary adenoma with postoperative residual or recurrence; (pituitary macroadenoma with optic bundle and optic cross spacing >3-5mm)

4.Patients with pituitary adenomas that cannot tolerate surgery due to old age or concomitant medical diseases (such as hypertension, diabetes, heart disease or coagulation disorders).