Recent Management of Pituitary Adenomas

Authors

  • Akira Teramoto Department of Neurosurgery, Nippon Medical School and Toranomon General Hospital, Tokyo, Japan

Abstract

Pituitary adenomas can be classified into several types according to their endocrinological functions.

  1. Non-functioning adenoma.
  2. Functioning adenoma.

2.1 Prolactin (PRL) secreting adenoma (prolactinoma).

2.2 Growth hormone (GH) secreting adenoma (acromegaly and/or gigantism).

2.3 Adrenocorticotropic hormone (ACTH) secreting adenoma (Cushing's disease, Nelson's syndrome).

2.4 Thyroid stimulating hormone (TSH) secreting adenoma.

2.5 Gonadotropin secreting adenoma.

Each type of adenoma is treated by different strategies which include surgery, medicines and irradiation. Therapeutic principles are not uniform among neurosurgeons, endocrinologists, gynecologists and radiotherapists. Here I would like to present our current management of the more commonly found pituitary adenomas from the viewpoints of pituitary neurosurgeons.

References

1. Zervas NT. Surgical results for pituitary adenomas: Results of an international survey. In: Peter McL, Black, et al. eds. Secretory Tumors of the Pituitary Gland. New York: Raven Press, 1984;377-85.

2. Teramoto A. Medical and/or surgical management of pituitary macro and microadenomas in hyperprolactinaemic women. In: Pepperell RJ, ed. Hyperprolactinaemia: Current Status. Amsterdam: Elsevier Science Publishers BV, 1990;14-21.

3. Teramoto A, Takakura K. Bromocriptine resistant prolactinomas. In: Hoshino K, ed. Prolactin Gene Family and its receptors. Amsterdam: Elsevier Science Publishers BV, 1988;469-76.

4. Teramoto A, Hirakawa K, Sanno N, et al. Incidental pituitary lesions in 1000 unselected autopsy specimens. Radiology 1994;193:161-4.

5. Corrigan DF, Schaaf M, Whaley RA, et al. Selective venous sampling to differentiate ectopic ACTH secretion from pituitary Cushing's syndrome. N Engl J Med 1977;296:861-2.

6. Teramoto A, Nemoto S, Takakura K, et al. Selective venous sampling directly from cavernous sinus in Cushing's syndrome. J Clin Endocrinol Metab 1993; 76:637-41.

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Published

1995-06-30

How to Cite

1.
Teramoto A. Recent Management of Pituitary Adenomas. Thai J Surg [Internet]. 1995 Jun. 30 [cited 2024 Dec. 24];16(1):8-11. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250188

Issue

Vol. 16 No. 1 (1995): January - June

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.