What are the items in the surgical examination for pituitary tumors

What items are included in the surgical examination for pituitary tumors? Nowadays, many people want to go to the hospital as soon as the disease just occurs, but many patients with pituitary tumors are worried that they will go to the hospital to do some useless examinations and waste their money. Let us now understand what items are included in the surgical examination for pituitary tumors.

CT examination: After CT plain scan and enhancement, 2MM coronal and sagittal reconstruction can be performed, which can clearly understand the shape and size of the pituitary gland, the position of the pituitary stalk, the bone condition of the sella turcica, and the degree of enhancement of the lesion, providing direct and indirect signs for the early diagnosis of pituitary microadenomas; it is very helpful for surgical positioning and determining the scope of the lesion. However, for smaller lesions, there may be surrounding bone artifacts, and the sensitivity is lower than MR.

X-ray film: When the size is large, the sella turcica can be seen to be enlarged, the diameters of the sella turcica are all enlarged, the sella turcica wall is thinned, the sella turcica floor is moved downward, the sella dorsum is destroyed, and the anterior and posterior beds are narrowed, which makes the sella turcica opening enlarged. The lateral view shows a double sella turcica floor.

Magnetic resonance imaging (MRI): MRI is the preferred imaging examination for pituitary tumors because of its sensitivity and ability to better display the tumor and its anatomical relationship with surrounding tissues. It can distinguish the optic chiasm and sella turcica diaphragm, clearly show whether cerebral blood vessels and pituitary tumors have invaded the cavernous sinus and sphenoid sinus, and whether the pituitary stalk is compressed.

Treatment of pituitary tumors:

The treatment of pituitary tumors should include surgical resection, radiotherapy or drug therapy based on the nature and size of the tumor, the compression of the surrounding pituitary tissues, and the function of the pituitary gland.

At present, there are three main treatments for pituitary tumors: drug therapy, surgery, and radiotherapy. The choice of treatment method mainly depends on the type of pituitary tumor. Generally, drug therapy is the first choice for PRL tumors, while surgery is the first choice for most GH tumors, ACTH tumors, TSH tumors, and non-functional macroadenomas. GH tumor patients whose GH and IGF-1 levels continue to increase after surgery should be given adjuvant therapy with octreotide or dopamine receptor agonists; for those who do not respond well to drug therapy, radiotherapy can be considered.