No. Tumors which secrete high amounts of the hormone prolactin usually respond to medical therapy so that surgery is not required. Small non-secretory tumors, less than one centimeter (termed a microadenoma), can sometimes be followed with serial MRIs to monitor for progressive enlargement before proceeding to surgery.

A pituitary tumor is a tumor that begins in the pituitary gland. Most pituitary tumors are not cancer. In fact, cancerous pituitary tumors are so rare that state and national cancer agencies keep no record of how many people get them each year. Benign (non-cancerous) pituitary tumors are also rare. About 3,000 people get them each year.

It depends on the type of tumor and how far it has invaded into the brain, as well as the patient's age and overall health. Three kinds of treatment are used: surgery (removing the tumor during an operation), radiation therapy (using high-dose x-rays/proton beams to kill tumor cells) and drug therapy to shrink and sometimes eradicate the tumor. Drugs can also block the pituitary gland from making too much hormone.

Pituitary tumors that affect hormones may cause a variety of symptoms, which are related to high hormone levels and production. These symptoms will be different in children than in adults. Growth hormone-secreting adenomas in children may cause: Other more rare kinds of pituitary tumors cause other symptoms. It is important for anyone who is experiencing any unusual symptoms to see their doctor.

Autopsy reports and radiologic and MRI evidence from around the globe indicate that one out of every five people worldwide has a pituitary tumor. The earliest study took place in 1936, when Dr. R.T. Costello of the Mayo Foundation conducted a cadaver study and found pituitary tumors in 22.4 % of the population (Costello R.T. Subclinical adenoma of the pituitary gland. Am. J. Pathol. 1936; 12:205-214). Statistics have not changed much ever since.

No. There are more than a dozen very different disorders that result from pituitary tumors and disease. For example, if a tumor forms in an ACTH secreting pituitary cell, it could result in the overproduction of cortisol (Cushing's Disease) or the underproduction of cortisol (adrenal insufficiency, often referred to as Secondary Addison's Disease).

Certain factors can make one person more likely to get a pituitary tumor than another person. These are called risk factors. In some cancers, doctors have identified risk factors that can be avoided, such as smoking or sun exposure. With pituitary tumors, doctors are not sure what exactly causes pituitary tumors and only one risk factor has been identified. Most people who get a pituitary tumor have no known risk factors.

Hi. I'm a nursing student and I recently had a male patient, 64 yrs. old, who is diagnosed with Diabetes Mellitus type 1, obesity, hypertension, a right below-the-knee amputation due to osteomyelitis, depression, chronic renal insufficiency, and a few other things, including poor wound healing. He has the typical Cushing's body type and the buffalo hump. He has no striae on his abdomen.

Pituitary Cyst : Any endocrine gland may develop a cyst. This occurs commonly in the ovaries and thyroid gland; a cyst in the pituitary gland is benign (not cancer). Many pituitary cysts cause no symptoms and don’t grow or enlarge. Only when they do, do they become symptomatic. They can cause headache and/or rarely interfere with normal pituitary function. If the cyst is large, loss of vision may occur.

No, pituitary tumors are usually benign. They grow very slowly and do not spread to other parts of the body.

No, these tumors are caused by an abnormality in the genetic material of the pituitary cell, which causes the cells to continue growing and dividing.

Any medical therapy for a pituitary tumor should reduce hormone overproduction by the tumor, and, ideally, decrease the size of the pituitary tumor so that any visual abnormality is corrected. Reduction in tumor size should improve or relieve headache associated with the tumor.

No. There are several variables, which affect a person's ability to completely pass a kidney stone. Some stones can pass spontaneously without medical or surgical intervention. The size and the location of the stone are factors that may effect whether a stone will pass spontaneously. Stones that are smaller than 4 mm have a 40-fold greater chance of passing spontaneously than for stones larger than 6 mm, regardless of the location of the stone.

No. Many degenerative or attritional tears can be managed non-operatively and allow you to return to your "normal" lifestyle.

No. Many ACL tears can be treated non-operatively. Many factors go into the decision making process. Some patients have ACL tears and no instability symptoms. Others are profoundly symptomatic, even with simple stair climbing, turning and twisting. We do not know why some people are more symptomatic than others, which is why surgery is not the right answer for everybody.

No (Chhabra, et. al. page 217). Depending on the degree of injury, the structure injured, and the patients probable future activity level surgery may or may not be beneficial. For instance there are many people, even competitive athletes, that return to their normal pre-injury activity level with a complete ACL tear and no reconstructive surgery.

The pituitary is a small, pea-sized gland located at the base of the brain that functions as "The Master Gland." From its lofty position above the rest of the body it sends signals to the thyroid gland, adrenal glands, ovaries and testes, directing them to produce thyroid hormone, cortisol, estrogen, testosterone, and many more. These hormones have dramatic effects on metabolism, blood pressure, sexuality, reproduction, and other vital body functions.

Usually not. Most women that require surgery can have fibroids removed with preservation of the uterus, tubes, and ovaries. If fertility is the major issue the uterus is not removed.

If prostatectomy was for prostate cancer and all the cancer cells were located within the prostate gland, then your cancer is cured. However, because it sometimes is difficult to tell if cancer has spread, some men may need treatment for a recurrence of cancer. If prostatectomy was a treatment for prostate enlargement (benign prostatic hyperplasia), about 10 percent of men will require additional surgery because of complications arising from the prostatectomy.

No. The majority of hand problems are treated with non-operative means, although complex difficulties actually necessitate surgical intervention.

In PRK, because the laser removes tissue from the surface of the eye, the body will attempt to fill in the defect much like if you had a cut on your hand. Since corneal tissue has different healing properties, the process can normally be regulated with the use of topical steroid drops which patients may be required to use over a one-month period. In LASIK, these drops are only used for a week. These drops will rarely cause any problems.

Cushing's disease is best treated with the surgical removal of the pituitary tumor, usually with a technique called transsphenoidal resection (behind the nose) by a neurosurgeon. Occasionally, the entire pituitary gland will need to be removed or injured in order to cure the Cushing's disease, leaving the person with a deficiency of ACTH and the other pituitary hormones. This can be treated by giving replacement hormones for cortisol, thyroid and gonadal (sex) hormones.

ExAblate is performed as an outpatient procedure, with minimal post treatment pain. There are no needles or incisions, and no blood loss. For most indications, the patient is conscious during the entire ExAblate procedure. Furthermore, patients in the uterine fibroid pivotal trial who receieved the ExAblate treatment were able to return to normal activities quicker than patients who opted for surgery.

A pituitary tumor is an abnormal growth of pituitary cells. Pituitary tumors can either be nonfunctional (that is they do not secrete hormones) or produce specific hormones, such as prolactin (causing infertility, decreased libido, and osteoporosis), growth hormone (causing acromegaly), ACTH (causing Cushing's), TSH (causing hypothyroidism), or be nonfunctional (that is they do not produce hormones).

The pituitary gland is a small gland located behind the nasal sinuses and above the roof of the mouth at the base of the skull. It is connected to the hypothalamus, a part of the brain. Together, the two control the production of many of the important hormones in the body. The pituitary gland sits in a tight bony space and has little room to grow or expand when swollen or if there is a tumor.

CDI itself does not interfere with menstruation or fertility. However, it may be associated with these or other problems if the disease or injury that caused the DI also damages adjacent parts of the brain or pituitary where other hormones are normally produced. Head trauma is one of the things that can cause this kind of collateral damage, but it does not always do so. Therefore, each patient with CDI must be evaluated separately to determine if any of the other hormones have been affected.

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 because of the excess quantities of hormones which they secrete (release) into the bloodstream. The most common type of secretory pituitary tumor is termed a prolactinoma.

A majority of brain tumors and vessel problems (doctors call these vascular anomalies) require surgery. Unfortunately, there are cases that are inaccessible or unsuitable for operation, even in the best of hands. Only a certified neurosurgeon or a neurologist can help one decide what is best for a particular problem. Common sense tells us that among many, the two more important considerations are the size and the location of the lesion.