Popularize science health and correctly understand pituitary adenoma

Pituitary tumors are a group of tumors originating from the anterior pituitary and posterior pituitary and residual cells in craniopharyngioma epithelium. Clinically, due to the different types of pituitary tumors, the typical manifestations of patients are amenorrhea, galactorrhea and infertility in women, and decreased libido, impotence, mammary gland development and infertility in men. Minor patients may show signs of overgrowth and acromegaly. In addition, there will be symptoms such as vision, visual impairment, listlessness, headache and vomiting.

When patients find pituitary adenoma, they should first have a correct understanding of the disease and go to neurosurgery for treatment. Because of the different types of pituitary tumors, doctors will make personalized treatment plans according to the tumor types of patients. During life-long follow-up, tumor recurrence should be avoided and the pituitary function of patients should be preserved as much as possible. Improve the quality of life of patients and prolong their lives.

What are the treatment methods of pituitary adenoma?

At present, the treatment of pituitary adenoma is mainly surgical treatment, drug treatment and radiotherapy. Pituitary tumor is located in the sellar region, surrounded by important nerve structures such as optic nerve, internal carotid artery and hypothalamus. At present, the surgical methods include transsphenoidal surgery, craniotomy and gamma knife. Tumors with a diameter greater than 3 cm and adhesion to the optic nerve or impaired vision can be treated by surgery first. The operation must achieve sufficient decompression of optic nerve, and then gamma knife treatment is performed after operation. However, recurrence may still occur after operation, which requires regular review.

Professor Zhang Zhiguo warned:

At present, with the development of microsurgery and neuroendoscope technology, the surgical effect of pituitary adenoma has been obviously improved, which not only can completely remove the tumor and restore the pituitary function to a certain extent, but also conforms to the concept of minimally invasive neurosurgery. Therefore, if patients find nonfunctional pituitary adenoma, don't worry too much. Most nonfunctional pituitary microadenomas can be closely followed up under the guidance of professional doctors to see what will happen.