In clinic, patients or their family members often hold imaging films and anxiously tell doctors what to do if something grows in their pituitary gland. In fact, it is difficult for doctors to accurately diagnose diseases based solely on imaging films. Usually, the diagnosis is made based on the patient's case characteristics and main symptoms. For example, the following diseases will show "something growing in the pituitary gland" on the imaging, but combined with the symptoms, it can be determined that they are not pituitary tumors. Disease 1: Lymphocytic hypophysitis Lymphocytic hypophysitis is mainly seen in women of childbearing age. The lesions are evenly diffuse, and the main symptom is diabetes insipidus (daily urine volume is several times more than that of others). This disease usually does not require surgery. Disease 2: Lach's cyst A Lach's cyst is a cyst that is trapped in the pituitary gland during congenital development. It usually has no obvious clinical symptoms and does not affect normal life. You only need to go to the hospital for regular checkups. However, if it grows larger and compresses the pituitary gland, causing hypopituitarism and menstrual disorders in patients, then surgical treatment should be considered. Disease 3: Hypothyroidism secondary to pituitary hyperplasia Hypothyroidism and secondary pituitary hyperplasia is actually the thyroid gland under the Adam's apple "not working", so the pituitary gland has to hold back to stimulate it, resulting in itself becoming larger and larger. Experienced doctors will notice that the patient has symptoms of hypothyroidism such as fatigue, constipation, dry skin, edema, etc., so as to avoid misdiagnosis as "pituitary adenoma". If surgical treatment is performed according to "pituitary tumor", the condition will not only not be relieved, but will be further aggravated! Warm reminder: When you find pituitary lesions during examination, you must go to a professional multidisciplinary comprehensive treatment center for pituitary adenoma. After a clear diagnosis by an experienced doctor, you can receive corresponding targeted treatment. Otherwise, you may miss the best time for treatment, or even worsen the condition due to wrong treatment! |
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