However, due to the lack of knowledge about pituitary tumor, many people do not know they are suffering from pituitary tumor even though they have symptoms, which in effect delays the disease and causes many regrets. Early detection and early cure.
If the following symptoms are found, the possibility of pituitary tumor should be considered: 1. long-term menstrual irregularities, amenorrhea, non-lactating breast overflow or unexplained infertility in women (according to statistics, 1/3 of infertility patients are caused by hyperprolactinemia, 39.7%-44% of which are caused by prolactinoma).
2. Unexplained hypoactive sexual desire, impotence, oligospermia, infertility, breast development, beard thinning and feminization of voice in men.
3.Unexplained abnormal development or delayed puberty in children (e.g. lack of menarche and secondary sexual characteristics at puberty).
4. Excessive physical growth, progressive thickening and enlargement of hands and feet, abnormal facial changes in adulthood (see acromegaly), (according to statistics, 99% of excessive growth hormone originates from pituitary tumors).
5, visual field disorders or unexplained progressive vision loss 6, sudden headache, sudden deterioration of visual acuity, even with impaired consciousness, should consider the possibility of pituitary stroke (hemorrhage).
In case of one of the above conditions, pituitary tumor should be considered and further examination must be performed. Endocrinological tests are commonly used to determine not only the six pituitary hormones but also the target organ hormones (e.g. thyroid hormone, adrenal cortical hormone, etc.).
2.Imaging: ①CT, cranial CT can effectively show pituitary stroke and find larger pituitary tumors, but it is difficult to confirm the diagnosis of pituitary microadenoma, coronal saddle area CT scan + enhancement can improve the detection rate, CT axial scan must include the pterygoid saddle area to avoid missed diagnosis.
② Magnetic resonance imaging (MRI) scan, MRI can better show pituitary tumor and its relationship with the surrounding area, MRI dynamic scan can show pituitary microadenoma below 5mm.