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Pituitary and Para-Sellar Tumors

November 09, 2011  by: Dr. Simran Kaur  Points: 5   Category: Health  Earning $0.10   Views: 381

Pituitary Sellar and para-sellar tumors produce a variety of mass effects, depending on their size and location.

         

Pituitary Sellar and para-sellar tumors produce a variety of mass effects, depending on their size and location. The most common, but least specific is headache.

Symptoms-

1. Headache.

2. Visual field defect.

3. Bitemporal hemianopia.

4. Upper quadrantanopia.

5. Optic atrophy.

6. Diplopia.

7. Strabismus.

8. Pituitary apoplexy.

9. Acute onset hypopituitarism.

Majority of the intrasellar tumors are pituitary macroadenomas, most suprasellar masses are craniopharyngiomas and para sellar masses are most commonly meningiomas.


Investigations-

1. Surgical biopsy.

2. CT scan.


Management-

1. Treatment of common pituitary and hypothalamic tumors.

2. Associated hypopituitarism should be treated.

3. If there is evidence of pressure on visual pathways, then urgent treatment is required.

4. Surgery.

5. Radiotherapy.




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