Search
pituitary neoplasm
see pituitary adenoma
Epidemiology:
- incidentally discovered pituitary neoplasms are common [1]
Pathology:
- mass effects
- pituitary hormone deficiency
- compression of optic chiasm
- bitemporal hemianopsia
Genetics:
- implicated genes:
- INSM1
History:
- menstrual history in premenopausal women
Laboratory:
- serum prolactin
- serum IGF-1
- serum cortisol (AM)
- ADH (serum sodium, serum osmolality, urine sodium, urine osmolality)
- serum TSH with reflex free T4
- serum LH serum FSH, 8 AM serum testosterone (male) serum estradiol (female)
Radiology:
- MRI neuroimaging with gadolinium contrast (renal function CKD3 or better) [2]
Related
craniopharyngioma
Specific
benign pituitary neoplasm
pituitary adenoma
pituitary carcinoma
General
brain neoplasm (intracranial neoplasm)
pituitary disease
References
- Medical Knowledge Self Assessment Program (MKSAP) 17, 18, 19.
American College of Physicians, Philadelphia 2015, 2018, 2022.
- NEJM Knowledge+ Nephrology/Urology
- NINDS Pituitary Tumors Information Page
https://www.ninds.nih.gov/Disorders/All-Disorders/Pituitary-Tumors-Information-Page