neurologic disorders
Pituitary Tumors
Treatment of Pituitary Tumors
Surgical excision when needed and possible For some endocrinopathies, medications Endocrinopathies are treated. Pituitary tumors that produce ACTH, growth hormone, or thyroid-stimulating hormone are surgically excised, usually using a transsphenoidal approach. Sometimes, particularly for surgically inaccessible or multifocal tumors, radiation therapy is required. Adenomas that produce prolactin are treated with dopaminergic agonists (eg,bromocriptine, pergolide,cabergoline), which lower blood levels and often shrink the tumor. Surgery and radiation therapy are usually unnecessary. 