title: Recent advances in pituitary tumor management.
abstract: OBJECTIVE
  Advances in the neurosurgical management of pituitary tumors have included the refinement of surgical access and significant progress in navigation technology to help further reduce morbidity and improve outcome. Similarly, stereotactic radiosurgery has evolved to become an integral part in pituitary tumors not amenable to medical or surgical treatment.
  
  
  RESULTS
  The evolution of minimally invasive surgery has evolved toward endoscopic versus microscopic trans-sphenoidal approaches for pituitary tumors. Debate exists regarding each approach, with advocates for both championing their cause. Stereotactic and fractional radiosurgery have been shown to be a safe and effective means of controlling tumor growth and ensuring hormonal stabilization, with longer-term data available for GammaKnife compared with CyberKnife.
  
  
  CONCLUSIONS
  The advances in trans-sphenoidal surgical approaches, navigation technological improvements and the current results of stereotactic radiosurgery are discussed.
authors.affiliation: St Vincent's Hospital, Sydney, Australia. marc.mayberg@swedish.org
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Winder
authors.forename: Marc R
authors.initials: MR
authors.lastname: Mayberg
mesh_terms: D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery*; D016634:Radiosurgery