Materiały źródłowe

• #1 PITUITARY TUMOR MANAGEMENT | PPT

  https://www.slideshare.net/slideshow/pituitary-tumor-management/55474740

  The pituitary gland is a small structure located at the base of the brain that regulates several important hormonal functions. Treatment depends on the size and secretory activity of the tumor, and may involve surgery, medication, radiation therapy, or observation. Pituitary neoplasms account for 10% to 15% of diagnosed primary intracranial neoplasms. Approximately 70% are endocrinologically active. The incidence of macroadenomas is similar between males and females; clinical manifestations of microadenomas are more frequent in women. Most of the pituitary adenomas arise from the anterior lobe, are benign in nature. Pituitary adenoma can be categorized secretory or nonsecretory tumors (ratio of 2:1). Clinical feature local tumor extension (mass effect and neuro-ophthalmic manifestation) hormonal dysfunction (endocrine syndromes). Common symptoms: headache, extraocular palsies, and visual symptoms. Hypopituitarism – compression of the native pituitary gland and resulting hyposecretion of pituitary hormones. Large tumors that are allowed to grow unabated can ultimately extend into the temporal lobe, third ventricle, and posterior fossa. Pituitary apoplexy – acute infarction and hemorrhage of a pituitary adenoma. These patients present with severe hypopituitarism require urgent medical care for administration of stress doses of steroids, fluid administration, and pain control. Urgent surgery is also generally warranted to avoid potential permanent sequelae. Goals remove or control tumor masses control hypersecretion correct endocrine deficiencies while minimizing the risk of hypopituitarism or injury to adjacent structure. Management options include observation, medical therapy, surgery, and radiotherapy. Observation is an option for nonsecreting microadenomas and small asymptomatic prolactinomas. Surgical intervention alone provides the most rapid means of achieving both goals. Transsphenoidal microsurgery is the standard surgery for most tumors, particularly effective in selective removal of microadenomas. Mortality rate of approximately 0.5%. Major complications include meningitis, cerebrospinal fluid leak, hemorrhage, and stroke. Adjuvant therapies for patients with residual tumor persistently elevated GH levels after surgery. Agents used include somatostatin analogs (octreotide and lanreotide) and dopamine agonists (bromocriptine and cabergoline). Long-term therapy appears to be required. Transsphenoidal resection is indicated for rapidly progressive vision loss and increase in adenoma size despite dopamine agonists. Regular formal visual field testing should be performed following radiotherapy.

• #1 Pituitary Tumor – Information – Oncology Hematology Care – OHC

  https://ohcare.com/condition/pituitary-tumor/

  The pituitary gland is a pea-sized gland at the base of the brain, just above the back of the nose. It makes different hormones that affect the way many parts of the body work. Most pituitary tumors are benign (not cancer), and are called pituitary adenomas. These tumors grow very slowly. They do not spread from the pituitary gland to distant parts of the body, but they sometimes spread to the bones of the skull or sinus cavity near the pituitary gland. A very small number of pituitary tumors are malignant (cancer) and can spread to distant parts of the body. […] There are four types of standard treatment. Your OHC doctor will help you determine the best care plan for you. […] Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left. Treatment given after the surgery, to lower the risk that the cancer will come back, is called adjuvant therapy. […] Drugs may be given to stop a functioning pituitary tumor from making too many hormones. […] Chemotherapy may be used as palliative treatment for pituitary carcinomas, to relieve symptoms and improve the patient’s quality of life.

• #1 Pituitary Tumor Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/pituitary-tumors/treating.html

  Nearly all pituitary tumors are adenomas. These tumors are benign (not cancer), but they can still cause serious health issues. Treatment of a pituitary adenoma depends on if it makes excess hormones and, if it does, which hormone it makes. Treatment also depends on the size of the tumor. […] When a pituitary tumor needs to be treated, the approach to treatment differs by tumor type. […] Pituitary tumors often require care from a team of doctors. […] Many other specialists might be part of your treatment team as well, including physician assistants (PAs), nurse practitioners (NPs), nurses, psychologists, social workers, rehabilitation specialists, and other health professionals. […] If your tumor needs to be treated, your doctor will discuss your options with you. […] Because pituitary tumors aren’t common, not many doctors have much experience with them. You may want to get a second opinion. […] Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known (or not known) about the method, which can help you make an informed decision.

• #1 Pituitary Tumors Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/1157189-treatment

  Managing pituitary adenomas requires a multidisciplinary team, ideally comprising specialists in endocrinology, neurosurgery, neuro-ophthalmology, radiation oncology, neuroradiology, neuro-oncology, and neuropathology. Treatment options include medical therapy, surgery, and radiation therapy, with the choice of modality depending on various factors such as tumor type, size, location, and the patients overall health. As a result, treatment is tailored to each patient to achieve the best outcomes. […] All hormone-based treatments should be directed and monitored by a consulting endocrinologist to ensure appropriate management. […] Adjustment of hormonal therapy is necessary following transsphenoidal surgery (TSS), generally accomplished in the weeks following surgery by the consulting endocrinologist.

• #1 Care of Patients with Pituitary and Adrenal Gland Problems | Nurse Key

  https://nursekey.com/care-of-patients-with-pituitary-and-adrenal-gland-problems-2/

  14 Prioritize nursing care for the patient with acute adrenal insufficiency. […] Nursing care for the patient with pituitary or adrenal gland disorders includes assessment, patient education, evaluation of patient response to therapy, and providing support. […] The patient often needs lifelong hormone replacement therapy, and physical and emotional support are critical. […] Management of the adult with hypopituitarism focuses on replacement of deficient hormones. […] The expected outcomes of management for the patient who has hyperpituitarism are to return hormone levels to normal or near normal, reduce or eliminate headache and visual disturbances, prevent complications, and reverse as many of the body changes as possible. […] Surgical removal of the pituitary gland and tumor (hypophysectomy) is the most common treatment for hyperpituitarism. […] Monitor the patients neurologic response, and document any changes in vision or mental status, altered level of consciousness, or decreased strength of the extremities. […] After surgery, the patient needs daily self-management regimens and frequent checkups.

• #1 Pituitary Tumors (Pituitary Adenomas) | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/brain-and-nerves/pituitary-tumors.html

  Pituitary tumors develop in the pituitary gland. Though these are noncancerous, slow-growing tumors, they can invade other structures and become challenging to treat and cure. […] Careful collaboration between a variety of specialists help focus recommendations for treatment of pituitary tumors. Many pituitary tumors do not require immediate treatment. […] If surgery is recommended, an endoscopic endonasal approach is a scarless surgery that allows your surgeon to follow the natural pathway through your nostril to reach the tumor. […] Our highly trained clinical nursing specialists offer patient education, including teaching self-administration of medications requiring injection, and assist with specialized hormone testing procedures.

• #1 Effects of Staged Nursing Care on Neuroendoscopic Transsphenoidal Pituitary Adenoma Resection and Postoperative Complications

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9374548/

  The nursing approach may successfully increase clinical satisfaction and comfort of patients by minimizing the likelihood of postoperative problems, and it is well-suited for practical use. […] A staged nursing model was used to intervene with patients in the stage group. Its characteristics are that nursing is divided into stages, such as preoperative, intraoperative, and postoperative, and different nursing interventions are carried out at each stage. […] The nursing staff must test all the instruments used before the operation and ensure that the instruments used during the procedure are in a sterile state when they are used. […] The nursing staff should provide a certain level of psychological counseling to the patient before the operation, explain to the patient the reliability of the operation and the dangers associated with pituitary tumor disease, and allow the patient to maintain a positive preoperative attitude.

• #1 Effects of Staged Nursing Care on Neuroendoscopic Transsphenoidal Pituitary Adenoma Resection and Postoperative Complications

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9374548/

  The purpose of this study was to determine whether staged nursing had an impact on the outcome of neuroendoscopic transsphenoidal pituitary tumor resection and postoperative complications. […] Patients in the stage group were significantly more satisfied with their treatment after treatment than those in the routine group (P 0.05); patients in the stage group were significantly more comfortable after treatment than those in the routine group (P 0.05); a significantly lower incidence of postoperative complications was observed in the stage group compared to the routine group (P 0.05). […] Patients with neuroendoscopic transsphenoidal pituitary tumor excision benefit greatly from staged nursing. The nursing approach may successfully assure the procedure’s smooth completion, boost patients’ postoperative recovery, and reduce patients’ worry, despair, and other unpleasant feelings.

• #1 Pituitary Drugs: Nursing Pharmacology Study Guide

  https://nurseslabs.com/pituitary-hormone-drugs/

  Growth Hormone antagonists are used in treating GH hypersecretion (hyperpituitarism) caused by pituitary tumors. […] GH hypersecretion is usually caused by pituitary tumors and can occur at any time of life. […] Nursing Considerations: Here are important nursing considerations when administering GH antagonists: […] Assess for contraindications or cautions (e.g. history of allergy to the drug, other endocrine disturbances, pregnancy and lactation, etc.) to avoid adverse effects. […] Monitor thyroid function, glucose tolerance, and GH levels periodically to monitor endocrine changes and to institute treatment as needed. […] Provide patient education about drug effects and warning signs to report to enhance patient knowledge and to promote compliance. […] Monitor patient response to therapy (return of GH levels to normal). […] Monitor for adverse effects (e.g. nutritional imbalance). […] Evaluate patient understanding on drug therapy by asking patient to name the drug, its indication, and adverse effects to watch for. […] Monitor patient compliance to drug therapy.

• #1 Pituitary Tumors | Neurology & Neurosurgery | Loyola Medicine

  https://www.loyolamedicine.org/services/neurology-and-neurosurgery/conditions/pituitary-tumors

  Loyola Medicines doctors are highly skilled in delivering the highest level of care for patients with pituitary tumors. […] Loyola takes a multidisciplinary approach to the care of pituitary tumors, which can threaten your vision and cause a multitude of symptoms. In addition to your primary care physician, your team may include a neurologist, neurosurgeon, radiologist, endocrinologist, oncologist, fertility specialist and our experienced nurses. […] Loyola’s neurology and neurosurgery departments are nationally recognized for providing exceptional care in an academic setting, training future leaders in neurology and neurosurgery. […] Our neuro intensive care unit and Cardinal Bernardin Cancer Center are staffed by compassionate certified technologists and highly experienced nurses, who have earned Magnet status.

• #1 Effects of Staged Nursing Care on Neuroendoscopic Transsphenoidal Pituitary Adenoma Resection and Postoperative Complications

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9374548/

  It is important that the nursing staff turn the patient’s head to the side before he or she awakens from general anesthesia, to prevent airway obstruction caused by vomiting. […] The results of this study revealed that patients in the stage group were significantly more satisfied and comfortable after treatment than those in the routine group, indicating that staged care could significantly improve patient comfort and satisfaction following pituitary tumor resection. […] The results of this study demonstrated that the incidence of postoperative complications in patients in the stage group was significantly lower than that in the routine group.

• #1 Pituitary Tumor Surgery Recovery Time | Barrow Neurological Institute

  https://www.barrowneuro.org/resource/recovery-guidelines-for-pituitary-patients/

  Although specific instructions will be provided to you at the time of hospital discharge, this document is intended to give you general guidelines and prepare you for your pituitary tumor recovery. […] For this reason, it can be difficult to determine which physician to contact with questions and concerns throughout the treatment and recovery process. […] A typical hospital admission for patients undergoing pituitary tumor surgery lasts 2 to 3 days; overnight in the intensive care unit (ICU) and 1 or 2 more on the nursing floor. […] The hospital’s case management department and social workers are available to help you identify needs that you may have after discharge from the hospital. […] You may experience the following after pituitary tumor surgery: […] Each person recovers at a different rate after a neurosurgical procedure.

• #1 FAQs – Pituitary & Skull Base Tumor | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/pituitary-skull-base-tumor/patient-resources/faqs

  We treat pituitary tumors using the latest innovations in minimally invasive procedures. […] Most patients experience mild to moderate discomfort for several days after surgery. The amount of discomfort varies from patient to patient, with some requiring only mild pain medications for a day or two whereas a minority of patients require pain medications for several weeks. We will make every effort to minimize your discomfort. […] We recommend that you have someone with you at home for at least one week after surgery. You will not be allowed to drive a car during that time. […] You will need to take it easy for several weeks after surgery. We will give you specific instructions at the time of discharge, but in general, we ask most patients not to lift anything heavy or strain for at least 4 weeks after surgery.

• #1 Pituitary Tumor Surgery Recovery Time | Barrow Neurological Institute

  https://www.barrowneuro.org/resource/recovery-guidelines-for-pituitary-patients/

  It is, however, important to get out of bed and move as soon as possible after surgery to avoid developing problems such as blood clots or pneumonia. […] Plan to be away from work for 2-4 weeks if you have a sedentary job and 6 weeks if you have an active job. […] Resume normal activities (including sexual activity) after six weeks unless otherwise advised by your surgeon. […] Ask your surgeon for specific limitations on weight lifting, swimming, and any other activity involving great physical exertion. […] There is a small risk of developing a delayed cerebro-spinal leak (CSF) and meningitis following your surgery. […] Smoking delays healing and can cause a wound infection. […] Sleeping with your head elevated on pillows may help decrease headaches. […] Frequent small meals (4–6 per day) are suggested with a moderate amount of protein in each to assist in the healing process.

• #1

  https://www.aurorahealthcare.org/services/neuroscience/brain-skull-base-care/brain-tumor/pituitary-tumor/pituitary-tumor-surgery

  After your pituitary gland tumor surgery, you may need to stay in the hospital for a day or two, but you’ll be able to return to a normal diet as long as you are taking fluids well. You’ll be encouraged to get out of bed and walk as soon as you’re able. While in the hospital, the amount of fluids you drink and your urine output will be tracked to evaluate pituitary function. […] In the months and years following your pituitary tumor treatment, youll need to follow up regularly with your doctors, and get MRIs to check if the pituitary gland tumor is growing back. […] Follow-up care is very important after pituitary tumor surgery. As life after pituitary tumor (adenoma) surgery goes on, be sure not to miss any visits with your health care team and follow their instructions carefully. Report any new or returning symptoms to your doctor right away.

• #1 Pituitary Adenomas: Definition, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15328-pituitary-adenomas

  Healthcare providers can treat some types of pituitary adenomas with medication that shrinks the adenoma and relieves symptoms. […] Radiation therapy uses high-energy X-rays to shrink adenomas or tumors. Healthcare providers use a special form of radiation therapy called stereotactic radiosurgery for pituitary adenomas, which uses a high dose of radiation aimed precisely at the adenoma from more than one direction to keep the adenoma from growing. […] As a result of surgeries and/or radiation therapy, approximately 60% of people with pituitary adenomas develop hypopituitarism after treatment, a condition in which theres a lack of production of one, multiple, or all of your pituitary hormones. Hypopituitarism is treatable with hormone replacement medications. […] Complications from surgery to remove a pituitary adenoma can include: Bleeding, Cerebrospinal fluid (CSF) leaks, Meningitis, Diabetes insipidus, which is a condition that results in partial or complete antidiuretic hormone deficiency from the posterior pituitary gland. This condition causes you to urinate large quantities of diluted urine resulting in sodium (salt) excess in your body.

• #1 Care of Patients with Pituitary and Adrenal Gland Problems | Nurse Key

  https://nursekey.com/care-of-patients-with-pituitary-and-adrenal-gland-problems-2/

  1 Protect the patient with antidiuretic hormone (ADH) deficiency from dehydration. […] 2 Use appropriate interventions to prevent injury in the patient who has hypercortisolism. […] 3 Modify the environment to reduce stimulation for the patient with pheochromocytoma. […] 4 Teach patients how to avoid increasing intracranial pressure after pituitary surgery. […] 5 Identify the teaching priorities for the patient taking hormone replacement therapy for pituitary or adrenal hypofunction. […] 6 Teach patients how to monitor therapy effectiveness for diabetes insipidus or syndrome of inappropriate ADH (SIADH). […] 11 Coordinate nursing care for the patient immediately after a transsphenoidal hypophysectomy. […] 12 Interpret clinical changes and laboratory data to determine the effectiveness of therapy for diabetes insipidus and for SIADH.

• #1 Everything you need to know about nursing pituitary disorders — Veterinary Internal Medicine Nursing

  https://www.veterinaryinternalmedicinenursing.com/blog/nursing-pituitary-disorders

  Pituitary disorders are being seen more and more commonly in practice, especially amongst our diabetic cats. […] As nurses, its really important that we have an awareness of the common pituitary disorders that we see, the effects they have on the body, and how they are diagnosed and treated, in order to plan and deliver the best possible nursing care. […] Stay tuned as we work together to plan nursing care for these patients! […] Treatment options include either medical management, radiation therapy or surgery. Generally, surgical management is preferred. […] Nursing care includes careful monitoring of vital parameters and glucose levels, fluid balance, urine specific gravity and output alongside nutrition, pain, neurological status and general nursing care. […] The most important nursing consideration for these patients is ensuring they have water freely available at all times and regular toilet walking due to their severe PU/PD. It is also vital that clients are made aware that these patients will be polydipsic and require water to be freely available always. They must not try and restrict the patients water intake in response to their polydipsia, as this can result in severe dehydration.

• #1 FAQs – Pituitary & Skull Base Tumor | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/pituitary-skull-base-tumor/patient-resources/faqs

  You will be given detailed Discharge Instructions, including verbal instructions by your nurse as well as a packet of written information and instructions. […] Yes. One of the functions of the pituitary gland is water balance in your body, and this can be temporary disturbed after surgery. You will be asked to go to a laboratory for a blood draw between 4 – 7 days after discharge. It is very important that the results of this test be made immediately available to Dr. Heaney (or the UCLA Endocrinology Fellow if Dr. Heaney is not your endocrinologist). We want to make sure your sodium level in your blood is within normal limits. […] Post-operative appointments typically occur between 7 – 14 days after your discharge date. These appointments can be arranged ahead of time or while in the hospital (dial 64100 from your hospital room phone). You will need to see your Neurosurgeon, Head and Neck surgeon, and endocrinologist. We can usually coordinate your care so that all three appointments take place on the same day.

• #1 Life After Pituitary Tumor Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/pituitary-tumors/after-treatment/follow-up.html

  For most people with pituitary tumors, treatment can remove or control the tumor. For some, treatment might make the tumor go away completely, and they won’t need any more treatment. For others, the tumor might never go away completely, or they might need to keep getting medicines or other treatments to help keep the tumor in check. […] Follow-up care is very important after treatment for a pituitary tumor. Even if you’ve finished treatment, your doctors will still want to watch you closely. Be sure to go to all of your visits with your health care team and follow their instructions carefully. Report any new or returning symptoms to your doctor right away. Ask questions if you dont understand what your doctor says. […] Surgery is often the first treatment for many types of pituitary adenomas. If you had a functional (hormone-making) pituitary adenoma, tests of blood hormone levels can often be done within days or weeks after surgery to see if treatment worked.

• #1 Recovery & Support for Pituitary Tumors | NYU Langone Health

  https://nyulangone.org/conditions/pituitary-tumors/support

  Support groups and one-on-one counseling sessions with a psycho-oncologist, a healthcare provider who is trained to address the psychological needs of people with a pituitary tumor, are available at Perlmutter Cancer Center. Counseling can help manage any stress or anxiety you may be experiencing. […] Social workers are also available to help you address any financial matters, such as insurance reimbursement, which may arise during or after treatment.

• #1 Pituitary gland tumours – symptoms, diagnosis, treatment | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/brain-tumour/pituitary-gland-tumours

  Surgery may be used for some pituitary gland tumours. The aim is to remove all or as much of the tumour as it is safely possible. […] Radiotherapy uses high-energy x rays to destroy the tumour cells. Radiotherapy may be used for all types of pituitary tumour. […] If a pituitary tumour is not causing symptoms and is found when having tests for another health problem, regular monitoring may be recommended instead of starting treatment straight away. […] Your doctor or specialist nurse will explain your treatment and possible side effects. Most side effects are short term and will improve gradually when the treatment is over. […] Pituitary gland tumours, and treatments for them, can affect hormone levels in the body. After your treatment has finished, you will have regular check-ups at a clinic that specialises in hormone imbalances, called an endocrinology clinic.

• #1 Recovery & Support for Pituitary Tumors | NYU Langone Health

  https://nyulangone.org/conditions/pituitary-tumors/support

  Endocrinologists and neurosurgeons at NYU Langone play an active role in follow-up care for people with benign pituitary tumors requiring treatment. […] If you have had surgery, with or without radiation therapy, you may need MRI scans to see if the tumor has returned and bloodwork to check your hormone levels every year. This helps ensure that treatment has been effective. […] Our doctors, psychologists, social workers, and rehabilitation therapists are committed to helping you manage your hormone levels and keep you feeling your best during and after treatment. […] The supportive care team at NYU Langones Perlmutter Cancer Center provides treatment for any tumor- or treatment-related discomfort associated with pituitary cancer. Pain management may include medication or integrative therapies.

• #1 Pituitary Tumors Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/1157189-treatment

  Long-term neuro-ophthalmologic surveillance is essential, especially when there is residual tumor close to the anterior visual pathway. A neuro-ophthalmologic examination including visual acuity, color vision, visual field testing, ocular motility, fundus photographs, and pRNFL and mGCIPL OCT should be performed before surgery and within 23 months after surgery to provide a baseline for future examinations. Subsequently, neuro-ophthalmologic surveillance should be performed at 312-month intervals or earlier if patients develop new visual symptoms. […] The treatment team should be multidisciplinary and ideally formed by a neuro-ophthalmologist, neuroradiologist, endocrinologist, neurosurgeon, neuropathologist, neuro-oncologist and radiation medicine specialist.

• #1 Multidisciplinary Team Care in Pituitary Tumours

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10930925/

  Pituitary tumours are slowly growing tumours of the pituitary gland, and they can cause damage due to the invasion or compression of surrounding tissues, such as the nerves responsible for vision, and/or due to altered hormone production. The treatment of pituitary tumours is complex and requires a wide range of medical specialists, including neurosurgeons, endocrinologists, neuropathologists, neuroradiologists, neuro-ophthalmologists, and otorhinolaryngologists, among others. Thus, optimal management of patients with pituitary tumours is best provided in the context of a dedicated multidisciplinary team with expertise in treating such conditions. […] The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together.

• #1 Multidisciplinary Team Care in Pituitary Tumours

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10930925/

  Management of patients with pituitary diseases has much improved since the implementation of PTCOE, or Pituitary MDT, with a patient-centric philosophy where the patient is at the core of its mission, and all activities and goals are aimed at improving the patients experience and outcomes. […] The mission and main clinical goals of the Pituitary MDT/PTCOE are summarised in Table 1. Ultimately, the key goal is to eliminate, or at least reduce, the excess morbidity and mortality due to pituitary tumours, pituitary hypersecretion syndromes, and other disorders affecting the pituitary, as well as manage the anterior or posterior pituitary hormone deficiencies. […] The multidisciplinary management of functioning pituitary tumours, including prolactin, growth hormone (GH)- or adrenocorticotropic hormone (ACTH)-secreting tumours, is crucial for improving clinical outcomes and the prognosis of patients. […] Despite the barriers that may arise when setting up a Pituitary MDT/PTCOE, efforts should be made to overcome them, aiming to deliver high-quality, cost-effective, and safe medical care for all patients with pituitary disorders.

• #1 Pituitary Tumors | Treatment Options for Pituitary Brain Tumors

  https://www.valleyhealth.com/services/pituitary-tumors

  Compared with traditional brain surgery, benefits of minimally invasive pituitary tumor surgery include: Less pain and bleeding, Fewer infections and other complications, No visible scars because we remove the tumor through your nose, Less time in the hospital, Faster recovery, Increased rates of resection, Ability to use your nasal tissue to reconstruct the skull base defect from surgery at the same time. […] Your neurosurgeon will work with you to determine if minimally invasive pituitary tumor surgery is right for you. […] Our dedicated Endoscopic Pituitary and Skull Base Surgery program specializes in the minimally invasive treatment of pituitary and skull base tumors. […] We have a dedicated neuroscience intensive care unit with nurses who are trained to provide specialized care after brain surgery. […] Our neuroscience nurse navigators guide you along the way, scheduling care and offering everything you need to feel supported.

• #1 Pituitary Disorders: Diagnosis and Treatment | Brain Institute | OHSU

  https://www.ohsu.edu/brain-institute/pituitary-disorders-diagnosis-and-treatment

  Chris Yedinak, DNP and Jessica Williams at OHSU reviewing notes FROM LEFT: Chris Yedinak, DNP (doctor of nursing practice), and Jessica Williams, a licensed practical nurse, are part of our large team of pituitary experts. Both are also clinical trials coordinators, taking part in our innovative research. […] The specialists at the OHSU Pituitary Center will give you a precise diagnosis and a treatment plan for your exact needs. […] Our team members are highly trained in endocrinology, a branch of medicine that deals with hormones. We have a special focus on neuroendocrinology, or how the nervous system and endocrine system interact. […] Your care plan may bring together specialists from across OHSU, such as: […] Nurse practitioners who focus on caring for patients with pituitary disorders

• #1 Multidisciplinary Team Care in Pituitary Tumours

  https://www.mdpi.com/2072-6694/16/5/950

  Dedicated endocrinologists participating in the Pituitary MDT/PTCOE should have received basic training in internal medicine and endocrinology through the residency, and then performed postgraduate training for at least 12 months in a pituitary tertiary centre. […] There is an emerging role for nuclear medicine in the management of pituitary tumours. Positron emission tomography-computed tomography (PET-CT) with 18F-fluorodeoxyglucose may be helpful for differential diagnosis and pre-operative characterization of some sellar lesions. […] Efficient communication between the different healthcare professionals involved in an MDT is crucial. The creation of a non-hierarchical and collaborative highly specialised environment, the presentation of the case in a concise and high-quality manner, scheduling structured meetings on a regular basis, and ensuring these meetings are always well-attended by the core members, are key factors for the success of a Pituitary MDT/PTCOE. […] The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together within the scope of a Pituitary MDT/PTCOE.

• #1 Pituitary Tumor Patient Care Highlights Program Strengths

  https://www.uvaphysicianresource.com/pituitary-tumor-care/

  We strive to get patients in quickly, be thorough in our explanations, and provide both treatment and long-term surveillance. Its about balancing perspective with availability and comprehensiveness. […] The team has expertise across every field, including radiology, radiation oncology, neuro-endocrinology, neuro-ophthalmology, rhinology, neuropathology, and neurosurgery. […] Our goal is always to preserve or restore normal pituitary function and achieve lifelong remission through hormonal therapy, safe surgical removal using the most innovative surgical techniques, and adjuvant Gamma Knife radiosurgery for select patients with the most challenging tumors, reaffirming our position as leaders in pituitary tumor management. […] The pituitary gland is responsible for hormonal balance in the body, and disruption of hormonal balance in patients with pituitary adenoma indirectly affects the quality of life, she says.

• #1 Pituitary Tumors – Pituitary Gland Tumors | Mount Sinai – New York

  https://www.mountsinai.org/care/neurosurgery/services/pituitary-disorders/tumors

  More than 10,000 pituitary tumors are diagnosed every year, according to the American Cancer Society. Most of these are benign adenomas that grow slowly. […] Pituitary tumors are not cancerous, but some of them can cause harm because they compress and damage normal pituitary tissue, interfering with hormone production. Other tumors can overproduce hormones. Either way, producing too much or too little hormone, can cause problems throughout the body. […] Depending on what we find, we work with you to develop a treatment plan that addresses the associated tumor and the symptoms it is causing. The plan may include medication management, pituitary surgery, or radiation therapy. […] About one in five pituitary adenomas are growth hormone tumors, according to the American Brain Tumor Association. Growth hormone tumors produce excess growth hormone, which makes your bones grow bigger, especially in the hands, feet, and face (acromegaly).

• #1 Pituitary Tumors – Pituitary Gland Tumors | Mount Sinai – New York

  https://www.mountsinai.org/care/neurosurgery/services/pituitary-disorders/tumors

  About one in four pituitary adenomas are non-functioning tumors, according to the American Brain Tumor Association. These tumors grow slowly and cause few symptoms. […] Prolactin-producing tumors (prolactinomas) account for about half of pituitary adenomas. They can decrease the levels of estrogen in women and testosterone in men. […] Thyroid-simulating tumors (TSH) are the rarest of the pituitary tumors. They lead to an overproduction of TSH, which stimulates the thyroid glands to make too much thyroxine, causing hyperthyroidism.

• #1 Pituitary Microadenomas Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/126702-treatment

  For symptomatic microprolactinomas, therapy with a dopamine agonist (D2-receptor agonist) is the treatment of choice. The goal is to restore prolactin levels to normal, with return to a eugonadal state, and to reduce the tumor size, preserve pituitary function, improve bone mineral density, stop galactorrhea, and prevent disease progression and recurrence. […] The most common dopamine agonists are bromocriptine and cabergoline. Cabergoline is the primary dopamine agonist used. […] It is recommended, if the dose of cabergoline is higher than 2 mg per week, that echocardiograms be performed periodically to monitor for heart valve abnormalities. […] In post-menopausal women with microprolactinomas, treatment is not necessary. Similarly, in patients with microprolactinomas who are not seeking fertility and in the absence of hypogonadism and galactorrhea, treatment with a dopamine agonist is not indicated.

• #1 Pituitary Microadenomas Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/126702-treatment

  For men with microprolactinomas and hypogonadism who do not seek fertility, testosterone administration without dopamine agonists will usually suffice. […] Acromegaly due to microadenoma may be controlled medically with long-acting injectable somatostatin receptor ligands (iSRLs), dopamine agonists such as cabergoline, growth hormone receptor antagonists, or selective estrogen receptor modulators (SERM). […] Medical therapy for Cushing disease can be initiated even before treatment with TSS, in patients with severe metabolic derangement as well as in those with Cushing disease who are waiting for pituitary radiotherapy to take effect. […] Major complications of microprolactinomas include tumor growth in 7-10% of patients, infertility, hypogonadism, and bone loss. […] The major complications of untreated acromegaly due to microadenoma include progressive tumor growth in up to 10% patients, cardiovascular morbidity and mortality, secondary diabetes mellitus, gastrointestinal adenomas or cancers, and respiratory problems.

• #1 Pituitary tumors – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548

  Pituitary tumors can be treated in several ways. The tumor may be removed with surgery. Or its growth may be controlled with medications or radiation therapy. Sometimes, hormone levels are managed with medicine. Your health care provider may suggest a combination of these treatments. In some cases, observation also called a ”wait-and-see” approach may be the right choice. […] If you develop symptoms that might be associated with a pituitary tumor, see your health care provider. Treatment for pituitary tumors often can bring hormones back to a healthy level and ease symptoms. […] Having a pituitary tumor or having one removed with surgery may permanently change your body’s hormone supply. As a result, you may need hormone replacement therapy for the rest of your life.

• #1 Pituitary Disorders | Nasal, Skull Base, Pituitary Tumors | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/nasal-skull-base-pituitary-tumors/treatments/pituitary-disorders

  Pituitary tumors are the most common cause of pituitary disorders. […] Treatment may include medication. But when the tumor is large or it is a secretory adenoma, multidisciplinary treatment including radiation therapy or surgery may be recommended. […] Surgery to remove the tumor is generally recommended. Medications and radiation therapy are alternative treatments. […] If left untreated, both Cushings disease and Cushings syndrome can seriously affect quality and length of life. […] If left untreated, acromegaly will negatively affect quality and length of life. […] Because drug therapy is now the treatment of choice for prolactin-secreting adenomas, surgery typically is not recommended. Medications are available to help treat this condition. […] Typically, a minimally invasive procedure known as transsphenoidal microsurgery is recommended for this pituitary condition. […] If CSF leakage is present, treatment with transsphenoidal surgery may be necessary to seal the leak.

• #1 Pituitary Microadenomas Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/126702-treatment

  Nonsecreting pituitary microadenomas do not typically need surgical resection. However, when tumor growth occurs, which can be the case in up to 10% of non-functioning pituitary microadenomas, or when tumors cause visual field defects, TSS is recommended. […] Monitoring microprolactinoma growth with MRI of the hypophyseal region at 1, 3, and 5 years is prudent. […] If the tumor does not change, no further studies are needed. If there is tumor growth or the occurrence of abnormal visual fields, then TSS is recommended. […] Stereotactic radiosurgery is the preferred mode of radiotherapy for treating patients with microprolactinomas who refuse TSS or in whom the surgery has failed and who are resistant or intolerant to dopamine agonists.

• #1 Pituitary Gland and Pituitary Tumors – AANS

  http://www.aans.org/patients/conditions-treatments/pituitary-gland-and-pituitary-tumors/

  Early intervention provides the best chance for cure or control of a pituitary tumor and its side effects. […] There are three types of treatment used for pituitary tumors: surgical removal of the tumor, radiation therapy using high-dose x-rays to kill tumor cells and medication therapy to shrink or eradicate the tumor. […] The transsphenoidal approach involves accessing the tumor through the nasal cavity using either a microsurgical or endoscopic approach, whichever the surgeon prefers. […] Surgery is usually combined with the use of computer guidance, allowing a minimally invasive approach. […] Transsphenoidal surgery is invariably the procedure of choice in small functional adenomas and in most macroadenomas, with the exception of prolactinomas. […] In prolactinomas (prolactin hormone-secreting microadenomas or macroadenomas), the use of a specific dopamine agonist medication is generally advised with surgery reserved for those tumors failing to show a good response to the treatment.

• #1

  https://he01.tci-thaijo.org/index.php/NurseNu/article/view/246637

  Transsphenoidal surgery is the most common approach to remove pituitary tumors. Management of patients following transsphenoidal pituitary tumor resection can be challenging for nurses. […] Successful postoperative transsphenoidal surgery management needs expert nursing care for early identification and prompt management of complications. Appropriate and timely management can save patient’s lives and get the best recovery from pituitary tumor surgery. […] This article reviewed knowledge on pituitary adenomas, postoperative complications, and guidelines for nurses caring for patients postoperative transsphenoidal pituitary tumor surgery. The materials included assessment and nursing management of rebleeding and increased intracranial pressure, visual disturbances, pituitary apoplexy, cerebrospinal fluid leak, meningitis, epistaxis, diabetes insipidus, hyponatremia, syndrome of inappropriate antidiuretic hormone, cerebral salt wasting syndrome, adrenal insufficiency, and discharge instructions for patients with transsphenoidal pituitary tumor resection.

• #1 Pituitary Gland and Pituitary Tumors – AANS

  http://www.aans.org/patients/conditions-treatments/pituitary-gland-and-pituitary-tumors/

  Transsphenoidal surgery is generally very well tolerated because of its minimally invasive characteristic, few side effects and quick patient recovery. […] Patients can often leave the hospital as early as two to three days after surgery. […] Radiation therapy uses high-energy x-rays to kill abnormal pituitary tumor cells. […] Radiation is extremely effective in stopping tumor growth and, with time, will lead to tumor shrinkage. […] Medication therapy is the first course of treatment. […] With medical management, about 80 percent of patients have prolactin levels restored to normal through dopamine agonist therapy. […] The most commonly used agents are bromocriptine or cabergoline. […] The size of the tumor will be reduced in the majority of patients to varying degrees, often resulting in improved vision, resolution of headaches and restored menstruation and fertility in women.

• #1 Pituitary Adenomas: Definition, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15328-pituitary-adenomas

  Common side effects of dopamine agonists that healthcare providers prescribe to treat prolactinomas include headaches, nausea, vomiting, dizziness and sometimes increased compulsive behavior. […] Possible side effects of radiation therapy include: Pituitary hormonal deficiency, Impaired fertility, Vision loss and brain injury (rare), Tumor development several years after treatment (rare).

• #1 Life After Pituitary Tumor Treatment | American Cancer Society

  https://www.cancer.org/cancer/types/pituitary-tumors/after-treatment/follow-up.html

  After radiation therapy, you will need check-ups for several years afterward. The response of the tumor to radiation therapy can be hard to predict. […] Its common for people to have low pituitary hormone levels after surgery or radiation therapy. If this happens to you, you’ll probably need hormone replacement. […] If you’re taking medicine to treat a prolactinoma (prolactin-making tumor), your hormone levels will be checked at least once or twice a year. […] Its important to consider whether your pituitary tumor might be a sign of a genetic syndrome in your family. Some people with pituitary tumors might want to talk to a genetic counselor about whether genetic testing to look for certain gene changes might be right for them. […] Talk with your doctor about developing a survivorship care plan for you.

• #1 Pituitary tumors | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/pituitary-tumors?content_id=CON-20155122

  Many pituitary adenomas don’t need treatment. They are not cancer, so if they don’t cause symptoms, simply watching them over time may be a good approach. […] Treatment with medications can be useful for the management of pituitary adenomas. They can help lower the amount of hormones the body makes due to a tumor. Some medications also can shrink certain types of pituitary tumors. […] If your hormones fall to unhealthy levels, you may need to take hormone replacement therapy. This can restore hormones to a healthy level. […] In watchful waiting also known as observation, expectant therapy or deferred therapy you might need regular follow-up tests to see if a tumor grows or if hormone levels change. Watchful waiting may be a choice for you if an adenoma isn’t causing any symptoms or triggering other health problems.

• #1 Foods to avoid with pituitary tumors | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/foods-to-avoid-with-pituitary-tumors.h00-159618645.html

  Theres no specific diet to follow if you have a pituitary tumor, so we recommend a healthy diet, says senior clinical dietitian Trisha Rosemond. […] Treatment for pituitary tumors may include medication to help reduce hormone levels. The drugs commonly used can cause nausea or vomiting. A dietitian can help manage those side effects. […] Though its rare, sometimes pituitary tumors can become cancerous and spread to other areas of the body. When treatment involves radiation therapy or chemotherapy, for example, the focus for dietitians becomes managing the diet and side effects. […] If a pituitary tumor is pressing onto the brain, patients may take steroids to reduce swelling. […] Tilton suggests MD Anderson patients request a referral to one of our dietitians so they can develop a plan that works for them. […] Depending on the severity of the tumor, sometimes a patient can have difficulty swallowing, says Tilton.

• #1 Pituitary Tumor | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/pituitary-tumors.html

  Pituitary tumors, also called pituitary adenomas, start in the pituitary gland. They almost always are benign (not cancer). However, they can cause other serious medical problems. […] These problems can be due to the overproduction or underproduction of hormones or if the tumors grow large enough to press against areas around the pituitary gland, such as the optic nerves, which help you see. […] Treatment for pituitary tumors may include medication to help reduce hormone levels. The drugs commonly used can cause nausea or vomiting. A dietitian can help manage those side effects. […] If you are suffering from fatigue, make sure you’re drinking plenty of fluids to stay hydrated. […] Depending on the severity of the tumor, sometimes a patient can have difficulty swallowing. […] If you’re having trouble swallowing, schedule a visit with a speech pathologist at MD Anderson.

• #1 Pituitary gland tumours – symptoms, diagnosis, treatment | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/brain-tumour/pituitary-gland-tumours

  If the normal pituitary function is affected by the tumour, surgery or radiotherapy, you may need to take medication to replace the hormones that are normally produced. This is called hormone replacement treatment. […] Treatment of pituitary tumours is usually very successful, although many people will have to take hormone replacements, sometimes for the rest of their lives. […] Many people find they get very anxious before appointments. This is natural. It can help to get support from family, friends or a specialist nurse.

• #1 Living With Pituitary Tumor | Expert Surgeon | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/pituitary-tumor/survival/living-with-pituitary-tumors

  In some cases, doctors may prescribe medications to shrink the tumor and normalize the body’s hormone levels. […] Your chances of living a normal life with a pituitary tumor depend on the tumor’s type, size, and symptoms. […] Following successful treatment, patients often can have improved symptoms and quality of life. In most cases, individuals who are appropriately treated can resume their daily lives and the diagnosis of a pituitary tumor rarely affects life expectancy. […] Pituitary tumors have a 16% recurrence rate over 10 years after the initial surgery/treatment, and 10% of patients require follow-up retreatment. […] In general, maintaining a balanced diet and a physically active lifestyle is critical for your overall health. […] Physical exercise may help prevent pituitary tumors (and many other conditions) and manage some of their symptoms.

• #1 Pituitary Tumor Patient Care Highlights Program Strengths

  https://www.uvaphysicianresource.com/pituitary-tumor-care/

  We have our own data, so we know our past outcomes; we know the likelihood of success and, as such, we can counsel patients more appropriately and give them realistic and good advice on what optimal therapy will look like for them. […] Patients with pituitary tumors come from all over the country to receive care at UVA Health, Sheehan says. […] Endocrinologists have led the development of all existing medical treatments and the refinement of replacement therapy for pituitary deficiency, for example. […] This refined approach aims to preserve, or even improve, pituitary function, nasal health, and vision, while providing the best up-front combination of treatments for the tumor. […] The goal is to optimize the recovery process by reducing variability when appropriate and to allow us to focus on the unique aspects of the disease for each patient, Catalino says. […] Its all part of our singular focus on improving the lives of patients with pituitary tumors. Every single day, this is what were thinking about.

• #2 Pituitary tumors – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548

  Pituitary tumors can be treated in several ways. The tumor may be removed with surgery. Or its growth may be controlled with medications or radiation therapy. Sometimes, hormone levels are managed with medicine. Your health care provider may suggest a combination of these treatments. In some cases, observation also called a ”wait-and-see” approach may be the right choice. […] If you develop symptoms that might be associated with a pituitary tumor, see your health care provider. Treatment for pituitary tumors often can bring hormones back to a healthy level and ease symptoms. […] Having a pituitary tumor or having one removed with surgery may permanently change your body’s hormone supply. As a result, you may need hormone replacement therapy for the rest of your life.

• #2 Multidisciplinary Team Care in Pituitary Tumours

  https://www.mdpi.com/2072-6694/16/5/950

  Pituitary tumours are slowly growing tumours of the pituitary gland, and they can cause damage due to the invasion or compression of surrounding tissues, such as the nerves responsible for vision, and/or due to altered hormone production. The treatment of pituitary tumours is complex and requires a wide range of medical specialists, including neurosurgeons, endocrinologists, neuropathologists, neuroradiologists, neuro-ophthalmologists, and otorhinolaryngologists, among others. Thus, optimal management of patients with pituitary tumours is best provided in the context of a dedicated multidisciplinary team with expertise in treating such conditions. […] The optimal care for patients with pituitary tumours is best provided in a multidisciplinary and collaborative environment, which requires the contribution of multiple medical specialties working together. The benefits and advantages of the pituitary multidisciplinary team (MDT) are broad, and all relevant international consensus and guidelines in the field recommend that patients with pituitary tumours should always be managed in a MDT.

• #2 Effects of Staged Nursing Care on Neuroendoscopic Transsphenoidal Pituitary Adenoma Resection and Postoperative Complications

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9374548/

  It is important that the nursing staff turn the patient’s head to the side before he or she awakens from general anesthesia, to prevent airway obstruction caused by vomiting. […] The results of this study revealed that patients in the stage group were significantly more satisfied and comfortable after treatment than those in the routine group, indicating that staged care could significantly improve patient comfort and satisfaction following pituitary tumor resection. […] The results of this study demonstrated that the incidence of postoperative complications in patients in the stage group was significantly lower than that in the routine group.

• #2 Pituitary Tumor Surgery Recovery Time | Barrow Neurological Institute

  https://www.barrowneuro.org/resource/recovery-guidelines-for-pituitary-patients/

  It is, however, important to get out of bed and move as soon as possible after surgery to avoid developing problems such as blood clots or pneumonia. […] Plan to be away from work for 2-4 weeks if you have a sedentary job and 6 weeks if you have an active job. […] Resume normal activities (including sexual activity) after six weeks unless otherwise advised by your surgeon. […] Ask your surgeon for specific limitations on weight lifting, swimming, and any other activity involving great physical exertion. […] There is a small risk of developing a delayed cerebro-spinal leak (CSF) and meningitis following your surgery. […] Smoking delays healing and can cause a wound infection. […] Sleeping with your head elevated on pillows may help decrease headaches. […] Frequent small meals (4–6 per day) are suggested with a moderate amount of protein in each to assist in the healing process.

• #2

  https://he01.tci-thaijo.org/index.php/NurseNu/article/view/246637

  Transsphenoidal surgery is the most common approach to remove pituitary tumors. Management of patients following transsphenoidal pituitary tumor resection can be challenging for nurses. […] Successful postoperative transsphenoidal surgery management needs expert nursing care for early identification and prompt management of complications. Appropriate and timely management can save patient’s lives and get the best recovery from pituitary tumor surgery. […] This article reviewed knowledge on pituitary adenomas, postoperative complications, and guidelines for nurses caring for patients postoperative transsphenoidal pituitary tumor surgery. The materials included assessment and nursing management of rebleeding and increased intracranial pressure, visual disturbances, pituitary apoplexy, cerebrospinal fluid leak, meningitis, epistaxis, diabetes insipidus, hyponatremia, syndrome of inappropriate antidiuretic hormone, cerebral salt wasting syndrome, adrenal insufficiency, and discharge instructions for patients with transsphenoidal pituitary tumor resection.

• #2 Pituitary Drugs: Nursing Pharmacology Study Guide

  https://nurseslabs.com/pituitary-hormone-drugs/

  Growth Hormone antagonists are used in treating GH hypersecretion (hyperpituitarism) caused by pituitary tumors. […] GH hypersecretion is usually caused by pituitary tumors and can occur at any time of life. […] Nursing Considerations: Here are important nursing considerations when administering GH antagonists: […] Assess for contraindications or cautions (e.g. history of allergy to the drug, other endocrine disturbances, pregnancy and lactation, etc.) to avoid adverse effects. […] Monitor thyroid function, glucose tolerance, and GH levels periodically to monitor endocrine changes and to institute treatment as needed. […] Provide patient education about drug effects and warning signs to report to enhance patient knowledge and to promote compliance. […] Monitor patient response to therapy (return of GH levels to normal). […] Monitor for adverse effects (e.g. nutritional imbalance). […] Evaluate patient understanding on drug therapy by asking patient to name the drug, its indication, and adverse effects to watch for. […] Monitor patient compliance to drug therapy.

• #2 FAQs – Pituitary & Skull Base Tumor | UCLA Health

  https://www.uclahealth.org/medical-services/neurosurgery/pituitary-skull-base-tumor/patient-resources/faqs

  We treat pituitary tumors using the latest innovations in minimally invasive procedures. […] Most patients experience mild to moderate discomfort for several days after surgery. The amount of discomfort varies from patient to patient, with some requiring only mild pain medications for a day or two whereas a minority of patients require pain medications for several weeks. We will make every effort to minimize your discomfort. […] We recommend that you have someone with you at home for at least one week after surgery. You will not be allowed to drive a car during that time. […] You will need to take it easy for several weeks after surgery. We will give you specific instructions at the time of discharge, but in general, we ask most patients not to lift anything heavy or strain for at least 4 weeks after surgery.

• #2 Multidisciplinary Team Care in Pituitary Tumours

  https://www.mdpi.com/2072-6694/16/5/950

  Management of patients with pituitary diseases has much improved since the implementation of PTCOE, or Pituitary MDT, with a “patient-centric” philosophy where the patient is at the core of its mission, and all activities and goals are aimed at improving the patient’s experience and outcomes. […] The mission and main clinical goals of the Pituitary MDT/PTCOE are summarised in Table 1. Ultimately, the key goal is to eliminate, or at least reduce, the excess morbidity and mortality due to pituitary tumours, pituitary hypersecretion syndromes, and other disorders affecting the pituitary, as well as manage the anterior or posterior pituitary hormone deficiencies. […] The multidisciplinary management of functioning pituitary tumours, including prolactin, growth hormone (GH)- or adrenocorticotropic hormone (ACTH)-secreting tumours, is crucial for improving clinical outcomes and the prognosis of patients.

• #2 Pituitary Tumor Patient Care Highlights Program Strengths

  https://www.uvaphysicianresource.com/pituitary-tumor-care/

  We have our own data, so we know our past outcomes; we know the likelihood of success and, as such, we can counsel patients more appropriately and give them realistic and good advice on what optimal therapy will look like for them. […] Patients with pituitary tumors come from all over the country to receive care at UVA Health, Sheehan says. […] Endocrinologists have led the development of all existing medical treatments and the refinement of replacement therapy for pituitary deficiency, for example. […] This refined approach aims to preserve, or even improve, pituitary function, nasal health, and vision, while providing the best up-front combination of treatments for the tumor. […] The goal is to optimize the recovery process by reducing variability when appropriate and to allow us to focus on the unique aspects of the disease for each patient, Catalino says. […] Its all part of our singular focus on improving the lives of patients with pituitary tumors. Every single day, this is what were thinking about.

• #2 Pituitary Tumors – Pituitary Gland Tumors | Mount Sinai – New York

  https://www.mountsinai.org/care/neurosurgery/services/pituitary-disorders/tumors

  About one in four pituitary adenomas are non-functioning tumors, according to the American Brain Tumor Association. These tumors grow slowly and cause few symptoms. […] Prolactin-producing tumors (prolactinomas) account for about half of pituitary adenomas. They can decrease the levels of estrogen in women and testosterone in men. […] Thyroid-simulating tumors (TSH) are the rarest of the pituitary tumors. They lead to an overproduction of TSH, which stimulates the thyroid glands to make too much thyroxine, causing hyperthyroidism.

• #2 Pituitary gland tumours – symptoms, diagnosis, treatment | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/brain-tumour/pituitary-gland-tumours

  Pituitary gland tumours are a type of brain tumour. The most common type of pituitary gland tumour is a pituitary adenoma. […] A pituitary adenoma tumour is usually benign (not cancer). A benign tumour does not usually spread to other parts of the brain or outside the brain. But it may cause problems as it grows by pressing on surrounding tissue and may affect how the pituitary gland produces hormones. […] The main treatments for a pituitary gland tumour are drug treatments, surgery and radiotherapy. Sometimes pituitary tumours that are not causing symptoms may be regularly monitored (active surveillance) instead of being treated straight away. […] Your treatment will be planned by a team of specialists called a multidisciplinary team (MDT). […] Prolactin-secreting tumours can be treated with drugs (medication). These include bromocriptine, cabergoline and quinagolide. They reduce the production of prolactin and the size of the tumour, and may also help control symptoms.

• #2 Foods to avoid with pituitary tumors | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/foods-to-avoid-with-pituitary-tumors.h00-159618645.html

  Theres no specific diet to follow if you have a pituitary tumor, so we recommend a healthy diet, says senior clinical dietitian Trisha Rosemond. […] Treatment for pituitary tumors may include medication to help reduce hormone levels. The drugs commonly used can cause nausea or vomiting. A dietitian can help manage those side effects. […] Though its rare, sometimes pituitary tumors can become cancerous and spread to other areas of the body. When treatment involves radiation therapy or chemotherapy, for example, the focus for dietitians becomes managing the diet and side effects. […] If a pituitary tumor is pressing onto the brain, patients may take steroids to reduce swelling. […] Tilton suggests MD Anderson patients request a referral to one of our dietitians so they can develop a plan that works for them. […] Depending on the severity of the tumor, sometimes a patient can have difficulty swallowing, says Tilton.

• #2 Living With Pituitary Tumor | Expert Surgeon | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/pituitary-tumor/survival/living-with-pituitary-tumors

  In some cases, doctors may prescribe medications to shrink the tumor and normalize the body’s hormone levels. […] Your chances of living a normal life with a pituitary tumor depend on the tumor’s type, size, and symptoms. […] Following successful treatment, patients often can have improved symptoms and quality of life. In most cases, individuals who are appropriately treated can resume their daily lives and the diagnosis of a pituitary tumor rarely affects life expectancy. […] Pituitary tumors have a 16% recurrence rate over 10 years after the initial surgery/treatment, and 10% of patients require follow-up retreatment. […] In general, maintaining a balanced diet and a physically active lifestyle is critical for your overall health. […] Physical exercise may help prevent pituitary tumors (and many other conditions) and manage some of their symptoms.

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