Pituitary tumor tips: 1.Surgical treatment strategy for pituitary adenoma – how to cure pituitary tumor (to prevent residual pituitary tumor and recurrence) We are also alert to a type of pituitary tumor that may be misdiagnosed and mistreated (the cause of which is hypothyroidism).
With the advances in endocrine laboratory tests and MRI scans, more and more pituitary adenomas are being diagnosed.
However, pituitary adenoma is probably the most complex disease in the skull and treatment cannot be generalized. Can it recur? What will be the consequences if left untreated? Should we take surgery or medication? Which is the best surgical procedure?
First of all, I would like to correct two common misconceptions: Misconception 1: Patients cannot have children after pituitary surgery Correct answer: The current transnasal minimally invasive surgery basically does not affect the function of the pituitary gland and will not cause pituitary hypofunction, so there is no problem of not being able to have children after surgery. The incidence of delayed hypopituitarism after radiotherapy is high, and patients with hypopituitarism can affect fertility).
Myth 2: Transnasal surgery is not as good as craniotomy and the tumor is not cleanly cut Correct answer: The conclusion is just the opposite, more than 97% of the tumors are subsaddle growth, and this kind of pituitary tumor can only be cured by transnasal surgery.
The first treatment of pituitary tumor is very important. In addition to the total excision of the tumor on imaging, it is also necessary to ensure the endocrinological cure (hormone return to normal after surgery). At present, the majority of pituitary tumor treatment in China is partial removal of the tumor, although the surgery seems to be smooth on the surface, the tumor residue causes the hormone not to return to normal after surgery (this is very common in domestic pituitary tumor surgery), which cannot serve the purpose of treatment.