We have assembled a team of dynamic physicians, all recognized experts and current leaders in their respective fields, who have considerable experience in the evaluation and management of patients with diseases of the pituitary gland and hypothalamus. Specialists within the disciplines of neurosurgery, neuroendocrinology, neuroradiology, radiation oncology, neuropathology, neurology, neuro-ophthalmology, and psychiatry comprise our working group. Center physicians are available for either consultation or assumption of care regarding diagnostic and management strategies for patients with pituitary tumors and other disorders of the hypothalamic-pituitary unit. We have devised and implemented unique strategies to permit the delivery of efficient, timely, state-of-the-art care to patients. We are committed to excellence in patient care, to the advancement of knowledge regarding all aspects of pituitary diseases, and to education and involvement of referring physicians in the care of their patients referred to our center.Hormonally active adenomasAcromegalyCushing's diseaseProlactinomasTSH-secreting adenomasOther pituitary tumorsHormonally inactive tumorsRecurrent tumorsCraniopharyngiomasApoplexyRare pituitary pathologiesRathke's cleft cystsHypothalamic tumorsInflammatory diseases (hypophysitis)Germ cell tumorsHypopituitarism (loss of pituitary function)Diabetes insipidus (DI)Magnetic resonance imaging (MRI): Three 3T scanners and nine 1.5T scanners, all equipped with the most up-to-date software and protocols, produce high-resolution images.Dynamic pituitary imaging: The pituitary region is rapidly scanned while a contrast agent is infused in order to observe enhancement of normal tissue in contrast to pituitary lesions. This technique is especially useful for identifying small tumors that may be difficult to discern from normal gland on standard images.High-resolution 3D MRI: Ultrathin sections (< 1 mm) are obtained to increase sensitivity for small biologically active tumors invisible on standard radiographs.In 2000, the direct endonasal approach for transsphenoidal surgery was developed at UCSF making this surgery even less invasive and greatly reducing surgical complications. More of these operations have been performed at UCSF than any other site in the United States.Advantages to the endonasal transsphenoidal operation:No intranasal or sublabial incisionsNo nasal packingImproved visualization and illumination with the use of an endoscope85% of patients return home the day after surgery, regardless of tumor sizeComplete removal of tumors as large as 5 cmLarge experience minimizes risk of recurrence or need for postoperative radiotherapyTumor is removed with preservation of the normal glandMinimal blood lossLow complication rates (0% mortality in over 1000 operations, <1% major morbidity)New techniques to eliminate CSF leaksCalifornia Center for Pituitary Disorders at UCSF400 Parnassus Ave., A-808San Francisco, CA 94143-0350FAX: 415-353-2939To refer a patient or schedule an appointment, please call 866-559-5543.To schedule an appointment for an MRI, please call 415-353-2573.
