If there is a substantial amount of a non-secretory tumor remaining after a transsphenoidal operation, radiation therapy can be used to halt further growth of the residual tumor. There are now a number of different forms of radiation treatment available for pituitary...
How Will We Know If The Entire Tumor Has Been Removed?
For hormone secreting tumors (Cushings, acromegaly, prolactinomas), blood and urine tests in the days or weeks following surgery provide the answer. For non-secreting tumors, pituitary MRI scans are used to determine this. Some centers, such as Massachusetts General...
Who Will Take Care Of Me In The Hospital?
At a major pituitary center, such the Neuroendocrine Clinical Center at Massachusetts General Hospital, you will be managed by a team of physicians. This includes your neurosurgeon, a staff neuroendocrinologist and the residents and fellows who work with them. The...
How Do You See The Tumor?
The opening through which transsphenoidal surgery is performed is very small, about an inch. Therefore, it is not possible to look with unaided vision at the surgical area or tumor. However, modern technology has developed tools for visualizing the area of the tumor...
Are There Other More Serious Complications?
Yes, but they are very rare. There is a very small chance of damaging the carotid arteries which are located on either side of the pituitary. This is a potentially devastating complication which could lead to stroke or death. It occurs very infrequently, when the...
I Have Been Told I Need Surgery For A Pituitary Adenoma. What Does This Mean?
Pituitary adenomas are benign tumors which arise from the pituitary gland itself. They are almost never malignant. Pituitary tumors can be either secretory or non-secretory, referring to whether they overproduce pituitary hormones. Secretory tumors cause disease...
How Is The Tumor Removed?
The tumor is usually soft and can be removed with small surgical instruments called curettes. In order to remove a large tumor through a small hole, the tumor itself has to be cut into small pieces. As the surgeon cores out the center of the tumor, the peripheral...
How Is This Surgery Performed?
Most pituitary tumors can be removed transsphenoidally. The approach is through the sphenoid sinus, one of the facial air spaces behind the nose. Rarely, a craniotomy is required, where the skull is opened to reach the tumor. There are three basic approaches to the...
How Will I Feel After The Surgery?
You will have a sinus headache and nasal congestion. This will gradually improve over a few weeks. You can take decongestants which will help these symptoms. It is common to feel fatigued for two-three weeks after the surgery and this gradually improves.
How Long Will I Be Out Of Work?
That depends on what you do. The average would be about two weeks.