pituitary neoplasm

Introduction

see pituitary adenoma

Epidemiology

• incidentally discovered pituitary neoplasms are common

Pathology

• mass effects
  • pituitary hormone deficiency
  • compression of optic chiasm
    • bitemporal hemianopsia

Genetics

• implicated genes:
  • INSM1

History

• menstrual history in premenopausal women

Laboratory

• serum prolactin
• serum IGF-1
• serum cortisol (AM)
• ADH (serum sodium, serum osmolality, urine sodium, urine osmolality)
• serum TSH with reflex free T4
• serum LH serum FSH, 8 AM serum testosterone (male) serum estradiol (female)

Radiology

• MRI neuroimaging with gadolinium contrast (renal function CKD3 or better)

More general terms

• pituitary disease
• brain neoplasm (intracranial neoplasm)

More specific terms

• benign pituitary neoplasm
• pituitary adenoma
• pituitary carcinoma

Additional terms

• craniopharyngioma

Patient information

pituitary neoplasm patient information