Treatment FAQ

what are the treatment of pituitary tumors?

by Miss Ada Smith Published 2 years ago Updated 2 years ago
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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.

Medication

Sep 24, 2020 · Treatment Option Overview There are different types of treatment for patients with pituitary tumors.. Different types of treatments are available... Four types of standard treatment are used:. Transsphenoidal surgery: A type of surgery in which the instruments are... New types of treatment are being ...

Procedures

Treatment for pituitary tumors may include: Surgery for Pituitary Tumors Radiation Therapy for Pituitary Tumors Medicines to Treat Pituitary Tumors Common treatment approaches Sometimes a combination of treatments is used.

Nutrition

Nov 02, 2017 · Surgery and radiation therapy are the main forms of treatment used. They may decrease tumor size, slow tumor growth, and help prevent or relieve symptoms. Surgery may be repeated, if needed. Medicines are used to manage hormone levels …

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The treatment of functional pituitary tumors depends on which type of hormone they make. Treatment of lactotroph adenomas or prolactin-secreting adenomas (prolactinomas) Unlike most other pituitary tumors, surgery is usually not the first treatment for these tumors. Sometimes these tumors can just be watched and nothing needs to be done right away.

How do you remove a pituitary tumor?

Treatment of pituitary tumors: surgery Abstract Following a century of technical developments and refinements, a variety of standard operation techniques to date are available for the surgical treatment of pituitary tumors. The vast majority of the lesions can be dealt with satisfactorily utilizing transsphenoidal approaches.

Why is recovery from pituitary surgery so damn slow?

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. Surgery

What is the recovery time from pituitary tumor removal?

Most pituitary tumors are benign. Symptoms vary depending on the type of tumor and the affected area of the pituitary gland. Your health care provider may order blood and urine tests, CT scan, MRI, or biopsy to diagnose the tumor. Treatment may include surgery, radiation therapy, or medication. What are pituitary tumors?

What to do if you have a damaged pituitary gland?

Oct 30, 2021 · There are various options for treating pituitary tumors, including removing the tumor, controlling its growth and managing your hormone levels with medications. Your doctor may recommend observation — or a ''wait and see'' approach.

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What is the best treatment for pituitary tumor?

Doctors generally use surgery, radiation therapy and medications, either alone or in combination, to treat a pituitary tumor and return hormone production to normal levels.Oct 30, 2021

Can pituitary tumors be treated with medicine?

Medication (drug therapy) is very effective for treating some hormone-producing pituitary tumors. The medication can stop a tumor from producing excess hormones or shrink it so it does not press on the pituitary gland or other parts of the nervous system.

What medication is used to shrink pituitary tumors?

Drugs called dopamine agonists can stop prolactinomas from making too much prolactin and shrink these tumors. Drugs are often the only treatment needed. Cabergoline (Dostinex) and bromocriptine (Parlodel) are most commonly used.Mar 9, 2020

How are pituitary tumors removed?

Transsphenoidal surgery This is the most common way to remove pituitary tumors. Transsphenoidal means that the surgery is done through the sphenoid sinus, a hollow space in the skull behind the nasal passages and below the brain. The back wall of the sinus covers the pituitary gland.

Do pituitary tumors go away?

In general, when a pituitary tumor is not cured, people live out their lives but may have to deal with problems caused by the tumor or its treatment, such as vision problems or hormone levels that are too high or too low.Nov 2, 2017

Is a pituitary tumor serious?

Pituitary cancer is very rare. Still, the tumors can cause serious problems, either because of their size (large tumors) or because they make extra hormones your body doesn't need (functioning tumors). They're typically treated with surgery, medicine, or radiation.Nov 5, 2021

What foods to avoid if you have a pituitary tumor?

Foods like Apricot and Beetroot should be eaten when undergoing Fluorouracil treatment for Pituitary Neuroendocrine Tumors. On the same lines, avoid foods like Cauliflower and Green Bean with treatment of Fluorouracil for Pituitary Neuroendocrine Tumors.Apr 14, 2021

What happens if a pituitary tumor goes untreated?

Most pituitary tumors are curable, but if left untreated, they can lead to serious complications such as complete vision loss.

What problems can a pituitary tumor cause?

Most pituitary tumors are not cancerous (benign). They don't spread to other parts of your body. But they can cause the pituitary to make too few or too many hormones, causing problems in the body. Pituitary tumors that make too many hormones will cause other glands to make more hormones.

How safe is pituitary surgery?

Endoscopic pituitary surgery is a safe type of surgery, but all surgical procedures carry some risk for reaction to anesthesia, bleeding, and infection. Risks and complications that may occur with this type of surgery also include: CSF rhinorrhea.

How long can you live with pituitary tumor?

The 5-year survival rate tells you what percent of people live at least 5 years after the tumor is found. Percent means how many out of 100. The 5-year survival rate for people with a pituitary gland tumor is 97%. Survival rates depend on the type of tumor, the person's age, and other factors.

How long is recovery for pituitary tumor surgery?

It can take up to 6 weeks to fully recover. The cuts the doctor made (incisions) may be sore for about 5 days after surgery. You may also have numbness and shooting pains near your wound, or swelling and bruising around your eyes. As your wound starts to heal, it may start to itch.

What is pituitary tumor?

Key Points. A pituitary tumor is a growth of abnormal cells in the tissues of the pituitary gland. The pituitary gland hormones control many other glands in the body. Having certain genetic conditions increases the risk of developing a pituitary tumor. Signs of a pituitary tumor include problems with vision and certain physical changes.

What is the purpose of pituitary tumor testing?

Once a pituitary tumor has been diagnosed, tests are done to find out if it has spread within the central nervous system (brain and spinal cord) or to other parts of the body.

How to stop a tumor from growing?

Treatment may include the following: Drug therapy to stop the tumor from making prolactin and to stop the tumor from growing. Surgery to remove the tumor ( transsphenoidal surgery or craniotomy) when the tumor does not respond to drug therapy or when the patient cannot take the drug. Radiation therapy .

What happens if a pituitary tumor is not functioning?

Sometimes, a pituitary tumor may press on or damage parts of the pituitary gland, causing it to stop making one or more hormones. Too little of a certain hormone will affect the work of the gland or organ that the hormone controls.

Can a tumor cause symptoms?

Signs and symptoms can be caused by the growth of the tumor and/or by hormones the tumor makes or by other conditions. Some tumors may not cause signs or symptoms. Check with your doctor if you have any of these problems.

What is the size of a tumor?

Tumor sizes are often measured in centimeters (cm) or inches. Common food items that can be used to show tumor size in cm include: a pea (1 cm ), a peanut (2 cm ), a grape (3 cm), a walnut (4 cm), a lime (5 cm or 2 inches), an egg (6 cm), a peach (7 cm), and a grapefruit (10 cm or 4 inches).

Why do we do clinical trials?

Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment. Many of today's standard treatments for cancer are based on earlier clinical trials.

What kind of doctor treats pituitary tumors?

Pituitary tumors often require care from a team of doctors. Doctors on your team may include: Neurosurgeon: a doctor who uses surgery to treat brain and pituitary tumors. Endocrinologist: a doctor who treats diseases in glands that make hormones. Neurologist: a doctor who diagnoses and treats brain and nervous system diseases.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

Why are clinical trials important?

Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone.

Is pituitary adenomas cancer?

Nearly all pituitary tumors are adenomas and not cancer (benign). Treatment of a pituitary adenoma depends on whether or not it makes excess hormones and, if it does, which hormone it makes. Treatment also depends on whether it's a microadenoma (smaller than 1 centimeter across) or a macroadenoma (1 centimeter across or larger).

What is a medical oncologist?

Medical oncologist: a doctor who uses chemotherapy and other medicines to treat cancers and other tumors. Many other specialists might be part of your treatment team as well, including physician assistants, nurse practitioners, nurses, psychologists, social workers, rehabilitation specialists, and other health professionals.

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

What is complementary medicine?

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment.

What is the treatment for pituitary carcinoma?

Surgery and radiation therapy are the main forms of treatment used. They may decrease tumor size, slow tumor growth, and help prevent or relieve symptoms. Surgery may be repeated, if needed. Medicines are used to manage hormone levels in functional pituitary carcinomas.

Is pituitary carcinoma hard to diagnose?

Pituitary carcinomas are very rare tumors that have already spread to other parts of the body when they're found. Because so few people around the world have this cancer, it's been difficult to learn much about it, and it's hard to diagnose and treat.

What is the best treatment for a tumor?

Some of the drugs that can be helpful include octreotide, lanreotide, cabergoline, and bromocriptine. These are usually used only if other treatments have failed to control the tumor.

What is the best treatment for thyroid cancer?

The treatment of choice for these tumors is surgery, which usually works well. Sometimes medicines are used before surgery to correct thyroid hormone levels and help shrink the tumor. Sometimes radiation therapy may be used along with surgery.

What is the drug that blocks growth hormone?

Another drug, pegvisomant, works by blocking the action of growth hormone. It can be used if somatostatin analogs (octreotide, lanreotide, or pasireotide) aren’t doing enough to block growth hormone production. Drugs such as cabergoline or bromocriptine can be used along with a somatostatin analog.

How long does it take for radiation to work?

Radiation can often take months or years to work, so medicines may be given to help control cortisol levels in the meantime. If surgery and radiation don’t control cortisol levels, treatment options may include using medicines or removing both of the adrenal glands (see below).

What is the treatment for adenomas?

(See Signs and Symptoms of Pituitary Tumors.) Surgery is usually the main treatment.

How does laparoscopic surgery work?

This can usually be done with laparoscopic surgery, using small incisions in the belly instead of one large one. The surgeon works through these small incisions with special long, thin instruments, including one with a tiny video camera lens on the end (called a laparoscope) for looking into the belly.

Can adenomas be removed with surgery?

Adults with these tumors often have acromegaly, while children have gigantism. Surgery is usually the first treatment for these adenomas, but it often can’t remove all of the tumor. Sometimes, a somatostatin analog (see below) is given for a few months before surgery.

How to tell if you have pituitary tumor?

The presence of three or more of the following symptoms may indicate a pituitary tumor: 1 Vision problems (blurred or double vision, drooping eyelid) 2 Headaches in the forehead area 3 Nausea or vomiting 4 Impaired sense of smell 5 Sexual dysfunction 6 Depression 7 Fatigue 8 Infertility 9 Growth problems 10 Osteoporosis 11 Unexplained weight gain 12 Unexplained weight loss 13 Easy bruising 14 Aching joints 15 Carpal tunnel syndrome 16 Disrupted menstruation 17 Early menopause 18 Muscle weakness 19 Galactorrhea (spontaneous breast-milk flow not associated with childbirth or the nursing of an infant)

What is the function of the pituitary?

The pituitary constantly monitors bodily functions and sends signals to remote organs and glands to monitor their function and maintain the appropriate environment. The ideal "thermostat" setting for a body depends on many factors, including level of activity, gender, body composition, etc.

What is the fourth most common intracranial tumor?

Pit uitary Adenoma s. Pituitary adenomas are the fourth most common intracranial tumor after gliomas, meningiomas and schwannomas. A large majority of pituitary adenomas are benign and are relatively slow growing. Adenomas are by far the most common disease affecting the pituitary gland.

Why is the pituitary gland called the master gland?

The pituitary is often called the "master gland" because it controls the secretion of most of the hormones in the body. A normal pituitary gland weighs less than 1 gram and is about the size and shape of a kidney bean. The function of the pituitary can be compared to that of a household thermostat.

How does radiation therapy help tumors?

Radiation Therapy. 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. Radiation therapy may be an option if the tumor cannot be treated effectively through medication or surgery.

Where do neurons come from?

However, it does contain the nerve endings of brain cells ( neurons) that arise from the hypothalamus. These neurons produce the hormones vasopressin and oxytocin which are transported down the pituitary stalk into the posterior pituitary. They are stored for later release into the bloodstream.

What are the two parts of the pituitary gland?

The pituitary is divided into distinct sections: the anterior pituitary gland and the posterior pituitary gland. Each part contains unique cells and releases different hormones that are responsible for specific control duties. The anterior pituitary is formed from the same tissue as the pharynx.

What is pituitary tumor?

Key points. A pituitary tumor is an abnormal growth in the pituitary gland. Most pituitary tumors are not cancer (benign). The pituitary is a small gland in the brain. It makes hormones that affect many other glands and many functions in your body. Symptoms vary depending on the type of tumor and the affected area of the pituitary gland.

Where is the pituitary located?

The pituitary is a small gland in the brain. It is located behind the back of the nose. It makes hormones that affect many other glands and many functions in your body. Most pituitary tumors are not cancerous (benign). They don’t spread to other parts of your body.

What is a nonfunctional adenomas?

Nonfunctional adenomas (null cell adenomas) These tumors are the most common type. They don’t make extra hormone. You may not have any symptoms until the tumor is a certain size. When the tumor is big enough, it may cause headaches and vision problems. Large pituitary tumors can crush normal pituitary cells.

Can pituitary gland tumors cause symptoms?

Symptoms depend on the type of tumor and the affected area of the pituitary gland. These tumors can lead to symptoms caused by too much or too little of the pituitary hormones. Each person’s symptoms may vary. The symptoms may also look like other health problems. Always see your healthcare provider for a diagnosis.

What is the effect of ACTH on the body?

ACTH (adrenocorticotropic hormone) stimulates the adrenal gland to make steroids that affect metabolism. These are called glucocorticoids. They reduce redness and swelling (inflammation) all over the body. They also slow down your immune system. Too much ACTH can cause Cushing's disease. This disease causes fat buildup in your face, neck, back, belly (abdomen), and chest. Also your arms and legs tend to become thin. You may also have purple stretch marks and high blood pressure. These tumors can also weaken your bones.

Can pituitary tumors be diagnosed?

Most pituitary tumors don’t cause symptoms. As a result, they are not diagnosed. Or they are found only during a routine brain imaging test. About 25% of people may have small pituitary tumors without knowing it. Below are the main types of pituitary tumors.

What is it called when you have too much growth hormone?

In adults, too much growth hormone causes a condition called acromegaly. It may include: Extra growth in the skull, hands, and feet. Deepened voice. A change in the facial appearance because of extra growth in the facial bones. A wide spacing of teeth because of the growth of facial bones.

What is pituitary tumor?

Pituitary tumors are abnormal growths that develop in your pituitary gland. Some pituitary tumors result in too much of the hormones that regulate important functions of your body. Some pituitary tumors can cause your pituitary gland to produce lower levels of hormones. Most pituitary tumors are noncancerous (benign) growths (adenomas).

Where is the pituitary gland located?

The pituitary gland is a small, bean-shaped gland situated at the base of your brain, somewhat behind your nose and between your ears. Despite its small size, the gland influences nearly every part of your body. The hormones it produces help regulate important functions, such as growth, blood pressure and reproduction.

Is pituitary tumor benign?

Most pituitary tumors are noncancerous (benign) growths ( adenomas). Adenomas remain in your pituitary gland or surrounding tissues and don't spread to other parts of your body. There are various options for treating pituitary tumors, including removing the tumor, controlling its growth and managing your hormone levels with medications.

What is the name of the tumor that produces cortisol?

Adrenocorticotropic hormone-secreting (ACTH) tumors. ACTH tumors produce the hormone adrenocorticotropin, which stimulates your adrenal glands to make the hormone cortisol. Cushing syndrome results from your adrenal glands producing too much cortisol. Possible signs and symptoms of Cushing syndrome include:

Can pituitary tumors cause symptoms?

Not all pituitary tumors cause symptoms. Sometimes they are identified incidentally on an imaging test such as an MRI or CT performed for some other reason. Pituitary tumors that make hormones (functioning) can cause a variety of signs and symptoms depending on the hormone they produce.

What happens when a pituitary tumor overproduces thyroid-stimulating hormone?

When a pituitary tumor overproduces thyroid-stimulating hormone, your thyroid gland makes too much of the hormone thyroxine. This is a rare cause of hyperthyroidism or overactive thyroid disease. Hyperthyroidism can accelerate your body's metabolism, causing: Weight loss.

Can prolactin cause hypogonadism?

Lack of menstrual periods. Milky discharge from the breasts. In men, a prolactin-producing tumor may cause male hypogonadism. Signs and symptoms can include: Erectile dysfunction.

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Treatment

Clinical Trials

Coping and Support

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on type of tumor, size and spread into the brain.
Medication

Prolactin-secreting tumors: Reduces prolactin secretion and often shrinks the tumor size.

Cabergoline . Bromocriptine


Growth hormone-secreting tumors: To regularize the hormone production.

Somatostatin . Pegvisomant

Procedures

Endoscopic transnasal transspheidal surgery: To remove the tumor through the nose and sinuses without external incision.

Craniotomy: The tumor is removed through the upper part of the skull.

Gamma knife stereotactic radiosurgery: Tumor is removed using a focused radiation beams.

Nutrition

Foods to eat:

  • Plenty of vegetables such as broccoli, kale
  • Fruits such as strawberries, oranges, grapefruit
  • Omega 3 fatty acid rich foods such as flaxseeds, walnuts, soybeans, canola oil
  • Lean meat such as beef, fish, poultry
  • Foods that contain high level of anti-oxidants such as blueberries, raspberries, tomatoes, red grapes

Foods to avoid:

  • Limit sugary Foods such as sodas
  • Fatty Foods such as fried potatoes
  • Avoid smoking

Specialist to consult

Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Oncologist
Specializes in the diagnosis and treatment of cancer.
Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.
Ophthalmologist
Specializes in the medical and surgical care of the eyes.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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