Pituitary adenoma: management

Evidence-based neurology checklist on pituitary adenoma: management: Endocrine tests Serum prolactin: >200ng/mL is significant Insulin-like growth factor 1 (IGF-1) Growth hormone (GH) Luteinizing hormone (LH) Follicular stimulating hormone (FSH) Thyrotropin Adrenocorticotropic hormone (ACTH)…

Endocrine tests

  • Serum prolactin: >200ng/mL is significant
  • Insulin-like growth factor 1 (IGF-1)
  • Growth hormone (GH)
  • Luteinizing hormone (LH)
  • Follicular stimulating hormone (FSH)
  • Thyrotropin
  • Adrenocorticotropic hormone (ACTH) stimulation test
  • Morning cortisol
  • Thyroid stimulating hormone (TSH)
  • Free T4
  • Dexamethasone suppression test
  • 24-hour urinary free cortisol

Other investigations

Monitoring macroadenomas

Monitoring microadenomas

Medical treatment: indication

Surgical treatment: indications

References

  1. Serhal D, Weil RJ, Hamrahian AH. Evaluation and management of pituitary incidentalomas. Cleve Clin J Med 2008; 75:793-801.
  2. Levy A. Pituitary disease: presentation, diagnosis, and management. JNNP 2004; 75(Suppl 3):iii47-iii52.

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