Pituitary Tumor (Pituitary Adenoma)

The pituitary gland sits at the base of the skull behind the eyes and nose and regulates the levels of hormones in the body. Tumors of the pituitary gland (pituitary adenomas) are usually benign, but they can cause problems due to changes in the body's hormone levels or due to pressure on the optic nerves. 

Patients with a pituitary tumor can experience a wide variety of symptoms, ranging from headaches and loss of peripheral vision to symptoms of hormone excess. There are several types of hormone-producing tumors. 

A pituitary tumor is diagnosed after a careful review of your history and physical exam, endocrine blood tests, and an MRI scan. First-line treatment is usually surgery to remove the tumor. The main exception is prolactin-producing tumors, which can often be treated with medication alone. Radiosurgery (e.g. Gamma Knife) is an option in some cases. Finally, small tumors that do not make hormones can sometimes be managed with “watchful waiting” rather than surgery.

Removal of a pituitary tumor is performed through the nose and is referred to as transsphenoidal surgery. I perform this procedure in partnership with an ENT doctor using a small camera called an endoscope. No incision on the face or head is needed. 

Most tumors can be completely removed, and patients are usually able to leave the hospital the following morning.

If you live near Denver and have a pituitary tumor, please consider meeting me in consultation to learn about treatment options.