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Seminars in Neurosurgery 2000; Volume 11(Number 3): 0301-0312
DOI: 10.1055/s-2000-9367
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel. +1(212)584-4662.

Contemporary Management of Pituitary Adenomas

Carl B. Heilman, Jonathan Borden, Rafeeque Bhadelia
  • Department of Neurosurgery(CBH, JB), and Department of Radiology (RB), Tufts New England Medical Center, Boston, Massachusetts
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

-This article reviews several recent advances in the management of pituitary adenomas. The development of dynamic contrast enhanced MRI scanning has enabled the detection of extremely small microadenomas. Wider recognition of the Hook effect has decreased the likelihood of misdiagnosing a prolactin secreting tumor. New therapeutic agents are available for the medical management of hormone secreting adenomas. Endoscopic endonasal pituitary surgery has increasingly been used to decrease the nasal discomfort associated with transseptal surgery. Endoscopic pituitary surgery is reviewed in this article. Finally, the role of radiosurgery in the treatment of pituitary adenomas is presented.

KEYWORD

Pituitary adenomas - imaging of pituitary - radiosurgery