There is no uniformity in what is reviewed after surgery. It’s not as simple as having a random doctor order a lab test or an MRI as you might think. The reason is that any of these tests have to be ordered on a patient-specific basis. There are more than 10 types of pituitary tumors, and each type has different clinical manifestations and endocrine changes. When reviewing, the doctor should determine the examination items and contents according to the patient’s pre-surgery symptoms, pre-surgery endocrine, pre-surgery tumor condition; the condition of surgery, post-surgery recovery, post-surgery endocrine condition, and the last review. It is better to review at the last surgery hospital and surgeon for review. Because they are familiar with your situation. The contents of the review according to different types and sizes are summarized as follows.
1. Hormone examination: see table
2. Imaging examination: Do not do CT for pituitary tumor review; for pituitary tumor diameter within 1 cm, it is recommended to review pituitary dynamic enhancement MRI. If the tumor diameter is more than 1 cm, a pituitary gland enhancement MRI is sufficient.
3. Young and middle-aged female patients
(1) Ultrasound examination: focus on the size of the uterus and the presence of polycystic ovaries.
(2) Mammography: presence of masses and changes of masses. 4.
(4) Male: testicular changes.
5. Examination of visual acuity and visual field for those with poor vision.
6. Thyrotropic hormone type: note changes in thyroid size.
7. Long-term users of bromocriptine or cabergoline: pay attention to liver and heart function, digestive system organs.
Common tumor types
Endocrine examination items
Prolactin type
Prolactin
Growth hormone type
Growth hormone
Mixed lactogenic growth hormone
Prolactin + Growth Hormone
Non-functional type
Cortisol, thyroid hormone
Pro-adrenal hormone type
Adrenal stimulating hormone, cortisol
Thyrotropic hormone type
Thyrotropic hormone, thyroxine
Gonadotropic
Gonadotropins, sex hormones