What is the optimal management of recurrent non-functioning pituitary adenoma?

Ottewell, Luke 2021. What is the optimal management of recurrent non-functioning pituitary adenoma? The British Student Doctor Journal 5 (3) , pp. 2-11. 10.18573/bsdj.166

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Abstract

Recurrent non-functioning pituitary adenomas (NFPAs) pose a di!cult challenge to neurosurgeons. NFPAs do not secrete hormones and thus symptoms usually manifest later in the disease process when the adenoma has reached a su!cient size as to cause mass effect on neighbouring bodies. Treatment of pituitary adenoma is commonly surgical with a transnasal, transsphenoidal approach. Growth of the NFPA into adjacent structures can add to the challenge of surgical resection and thus resection of NFPAs is sometimes incomplete. This often leads to recurrence and necessitates further treatment. A variety of treatment strategies may be employed to design an optimal treatment algorithm, and often a combination of these may be used depending on the size and location of the adenoma and age of the patient. This paper aims to present the evidence for each treatment strategy and to guide what the optimal treatment of NFPA may be, faced with the variety of outcomes that may arise from initial treatment.

Item Type:	Article
Date Type:	Publication
Status:	Published
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RD Surgery
Publisher:	Cardiff University Press
ISSN:	2514-3174
Date of First Compliant Deposit:	21 December 2021
Date of Acceptance:	18 April 2021
Last Modified:	23 May 2023 15:49
URI:	https://orca.cardiff.ac.uk/id/eprint/146267

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