Pituitary Tumors Treatment in Thailand

People with a family history of Carney complex, multiple endocrine neoplasia types 1 (MEN1) syndrome or isolated familial acromegaly have an increased risk of developing pituitary tumors.

• Headache
• Some loss of vision
• Loss of body hair
• In women, skipping or no menstrual periods
• Lactation in a woman who is not pregnant or breast-feeding
• Lower sex drive
• Slowed growth and sexual development in children
• Frequent bowel movements
• Nausea and vomiting
• Runny or "drippy" nose
• Infertility
• Weight gain in the neck, face and trunk of your body, and thin arms and legs
• Easy bruising and fragile bones
• Joint pain
• Sweating more than usual
• Dysmorphophobia
• Shakiness
• Anxiety, irritability, and depression
• Acromegaly in adults
• In children, the whole body can grow much larger and taller than normal
• Tingling or numbness in the hands and fingers
• Snoring or pauses in breathing during sleep
• Weight loss
• Trouble sleeping

Imaging studies and blood and urine tests are used to diagnose a pituitary tumor. Pituitary carcinoma is diagnosed only when there are metastases inside or outside the nervous system. The following tests and procedures may be used:

• Physical exam and history
• Eye exam
• Visual field exam
• Neurological exam
• MRI (magnetic resonance imaging) with gadolinium
• Blood chemistry study
• Blood tests
• Urine test
• High-dose dexamethasone suppression test
• Low-dose dexamethasone suppression test
• Venous sampling for pituitary tumors
• Biopsy

Because the pituitary gland revolves around so many of the body’s functions, a multi-disciplinary approach to tumor treatment is required to ensure the best possible outcome. Treatment options depend on the following:

• The type and size of the tumor
• Whether the tumor is producing excess hormones
• What signs or symptoms the tumor is causing such as problems with vision
• Whether the tumor has spread to the brain or to other parts of the body
• Whether the tumor has been diagnosed for the first time or has recurred.

Surgery: Treatment of pituitary tumors usually involves removing the tumor through surgery.

Medication: Medication may be used to reduce the size of the size of the tumor without surgery.

Radiation therapy: This treatment method can be used to treat a persistent or recurring tumor that does not respond to medication, as long as the tumor is a secreting hormone. For tumors that do not secrete hormone, radiation may be used following the partial removal of the tumor if it was invasive.

Replacement hormone therapy: This is often prescribed following surgery or radiation therapy.The chance of recovery depends on the type and size of the tumor, and whether it has spread into other areas of the central nervous system, such as the brain and spinal cord or outside of the central nervous system to other parts of the body.