title: Non-functioning pituitary adenomas.
abstract: Non-functioning pituitary tumours are mostly of gonadotroph cell origin and are devoid of humoral hypersecretory syndromes. They are usually large at the time of diagnosis, commonly presenting with headaches, visual field defects and hypopituitarism. Trans-sphenoidal surgery remains the treatment of choice for rapid decompression of neighbouring structures, often bringing to normalisation or improvement of visual and pituitary function. The management of patients with postoperative residual tumours is still a matter of debate and may include observation alone, the use of dopamine agonists or radiation therapy. There are no controlled or comparative studies of the available therapeutic options; therefore, recommendations are not evidence based. Patients need long-term follow-up for the detection and treatment of hypopituitarism, visual dysfunction and tumour growth that may develop over time.
authors: Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv-Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv 64239, Israel. greenman@tasmc.health.gov.il
authors: Yona
authors: Y
authors: Greenman
authors: Naftali
authors: N
authors: Stern
mesh_terms: D000236:Adenoma / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006065:Gonadotropins, Pituitary / Q000378:metabolism; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis / Q000209:etiology; D019635:Neurosurgical Procedures / Q000534:rehabilitation; D010911:Pituitary Neoplasms / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D006065:Gonadotropins, Pituitary