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Pituitary Tumor Treatment

Pituitary Tumor Treatment

Pituitary tumors are abnormal growths that develop in the pituitary gland, a small, bean-shaped gland located at the base of the brain. Although most pituitary tumors are benign (noncancerous), they can affect hormone production and cause a variety of symptoms.

What Are Pituitary Tumors?

Pituitary tumors are growths in the pituitary gland, which regulates important body functions and hormones. Most tumors are adenomas — noncancerous and slow-growing.

Types of Pituitary Tumors:

  • Functioning tumors: Produce excess hormones
  • Non-functioning tumors: Do not produce hormones

Functioning Tumor Subtypes:

  • Prolactin-secreting (prolactinomas)
  • Growth hormone-secreting (acromegaly/gigantism)
  • ACTH-secreting (Cushing's disease)
  • TSH-secreting (hyperthyroidism)

What Are the Symptoms of Pituitary Tumors?

Symptoms vary depending on the tumor type and hormone affected.

Hormonal symptoms:

  • Irregular periods or lactation
  • Infertility
  • Erectile dysfunction
  • Weight gain or loss
  • Fatigue
  • Hair thinning
  • Enlarged hands/feet (acromegaly)
  • Vision changes

Tumor size symptoms:

  • Headaches
  • Vision loss (especially peripheral vision)
  • Nausea or vomiting
  • Facial numbness (rare)

What Are the Causes of Pituitary Tumors?

The exact cause is unknown, but may include:

  • Genetic mutations
  • Inherited disorders like Multiple Endocrine Neoplasia type 1 (MEN1)

Diagnosis of Pituitary Tumors

  • Blood tests and urine tests: To assess hormone levels
  • MRI or CT scan: To locate and measure tumor size
  • Eye exams: To evaluate vision changes
  • Stimulation/suppression tests: To check hormone function

Procedure

Treatment Options for Pituitary Tumors

Treatment depends on tumor type, size, and hormone activity.

1. Medications

Used for hormone-secreting tumors:

  • Dopamine agonists (e.g., cabergoline, bromocriptine): For prolactinomas
  • Somatostatin analogs (e.g., octreotide): For growth hormone-secreting tumors
  • Ketoconazole or metyrapone: To reduce cortisol

2. Surgery

  • Transsphenoidal surgery: Through the nose and sphenoid sinus (minimally invasive)
  • Craniotomy: Through the skull, for large or inaccessible tumors

3. Radiation Therapy

  • Used when surgery is incomplete or not an option
  • Stereotactic radiosurgery (e.g., Gamma Knife) for targeted treatment

Recovery After Surgery

  • Hospital stay: 2–3 days
  • Hormone replacement may be needed
  • Follow-up MRIs and hormone testing

Factors That Can Affect Pituitary Tumor Treatment Cost in India

  • Tumor type (functioning vs. non-functioning)
  • Need for surgery and complexity
  • Duration of hospitalization
  • Medication costs
  • Choice of hospital and city
  • Postoperative care and hormone therapy

India offers specialized treatment for pituitary tumors at affordable costs, with experienced neurosurgeons and endocrinologists.

Suggestions

  • Early diagnosis and hormone testing are crucial
  • Surgery often offers a cure for many types
  • Regular follow-up is needed to monitor hormone levels and tumor recurrence

The Most Important Frequently Asked Questions

Q: Are pituitary tumors life-threatening?
A: Most are benign and not life-threatening but may cause significant hormonal imbalance or vision issues.

Q: Can pituitary tumors be cured?
A: Many functioning tumors can be controlled or cured with medication or surgery.

Q: Is pituitary tumor surgery safe?
A: Transsphenoidal surgery is highly successful with low risk when performed by skilled surgeons.

Q: Will I need hormone replacement therapy after surgery?
A: Possibly, if the tumor or surgery affects hormone production.

Q: Can pituitary tumors recur?
A: Yes, regular follow-up with imaging and hormone tests is essential.

Q: Are all pituitary tumors functional?
A: No, many do not secrete hormones and are discovered only when they grow large.

Q: Is vision affected by pituitary tumors?
A: Yes, large tumors may compress the optic nerves and cause vision loss.

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