Pituitary tumors: most are benign

Written by: Dr. Carlos Ruiz-Ocaña Montalvo
Published: | Updated: 16/11/2018
Edited by: Top Doctors®

The pituitary gland is an endocrine hormone generates most of the human body and is housed in the base of the cranial cavity within a bone structure known as "sella" due to its shape. Anatomically, it is very close to the optic nerves.


pituitary tumors

Most pituitary tumors are benign and it is unknown because they appear. Mainly, there are two types of pituitary tumors:

Producers hormone, also known as secretory. Its symptoms are related to the elevation of the type of hormone that is produced, ie, secrete more of hormone necessary and therefore the patient reports hormonal changes before noticing visual field loss, which is more common in non producers.

Within the secretory, the specialists distinguish between:

  • Amenorrhea-galactorrhea syndrome, more common in women. It is characterized by absence of rule, milk secretion and increase the hormone prolactin. Occurs in men decreased libido.
  • Acromegaly. Produce excess growth hormone. These are patients who begin to notice enlarged hands, feet, nose and jaw. Some have to change the number of shoe and do not enter the ring finger always. Growth hormone is increased in analytics.
  • Cushing syndrome, common in women. Clinically no increased cortisol in blood and urine, the face becomes flushed and there is excess fat in the neck and especially in the abdomen with stretch marks such as pregnant. increased blood pressure is also produced.

And the non - producing hormone, also known as secretory. Reach large sizes because they have not caused hormonal alterations, reaching compress the optic nerves, so they usually start with visual field loss can lead to blindness if not treated.

old man

Diagnosis of pituitary tumors

Diagnosis is achieved with good clinical history, hormonal analysis, conducting visual field and, importantly, cranial MRI (which will give us the size of the lesion and anatomical commitments).


Treatment of pituitary tumors

Initially, treatment may be with medication intake, which produce prolactin elevation, and in other cases, usually surgery.

Surgical treatment is through the nostrils, reaching sinus, skull base and finally to the pituitary gland and the tumor. In recent years, practiced by endoscopy, with the help of ENT doctors and hospital stay is reduced to 2-4 days.

When they are extremely large and can not get removed nasally must open the skull.

When a tumor is radiosurgery rest helps control growth

*Translated with Google translator. We apologize for any imperfection
Dr. Carlos Ruiz-Ocaña Montalvo

By Dr. Carlos Ruiz-Ocaña Montalvo
Neurological Surgery

Dr. Ruiz-Ocaña Montalvo is Doctor "cum laude" from the Complutense University of Madrid and a specialist in neurosurgery since 1979. After obtaining a place by opposition in the department of neurosurgery at the Hospital de la Princesa, maintained a constant and intense activity care, public and private (Group Ruber) at the same time you spent some time getting square Teaching Associate Professor of Neurosurgery at the Complutense University of Madrid. After being hired by the Clinical Hospital of Madrid as Section Head and stay in that position for eight years, he decided to devote himself exclusively to private medicine as Chief of Neurosurgery at the Ruber International Hospital since 2001. He currently combines his clinical work with teaching, He is professor at the European University of Madrid, in addition to hold the post of President of the Spanish Society of Neurosurgery.

Since 2006 he joined the University Hospital of Madrid Chiron exclusive dedication in order to stay in hospital and technical forefront constant innovation.

Although he is an expert in all fields of neurosurgery, it is extremely advanced techniques in spinal surgery, in addition to the cranial base tumors, surgical treatment of trigeminal neuralgia and epilepsy. In recent years it has developed techniques for column endoscopy and for the treatment of pituitary processes.

His team has brought together a group of experts in child neurosurgery, neuro-oncology and surgical treatment of epilepsy, while in the background his human qualities.

*Translated with Google translator. We apologize for any imperfection