Can a small microadenoma cause symptoms?

[Pituiful]

I know that each of us will have different experiences but I need some help to see if anyone else has experienced symptoms although their doctor said that they shouldn't.

I have been having many medical issues and recently was informed that I have a 5 mm left side microadenoma.  

The MRI reports states:
The pituitary is normal in size.  In the left side of the pituitary, there is a small lesion which enhances slightly less than normal adjacent pituitary.  This measures 4x5x4 mm.  In the midline of the posterior pituitary there is a similar sized lesion w/o any significant enhancement.  The suprasellar region and cavernous sinuses appear unremarkable.
Impression:  5 mm left side pituitary microadenoma, while the second small lesion in the posterior central gland may represent a second microadenoma, I would favor that it represents an incidental cyst.

My doctor said that all of the blood work states that I should not have any symptoms at all, my prolactin level was elevated which is why he sent me to have an MRI.  He checked my thyroid levels and all were normal within range.  My low does test showed ACTH at <1.1 and Cortisol at 0.6 low.  Prior to the test my dhea was high, my acth was 50.3 was normal, prolactin was high and cortisol was 14.0 which is normal.

Although there is nothing protruding in my sinues, could I still be having sysmptoms?  I asked the doctor about the possible second microadenoma or cyst, he said that the person reading the images didn't know what they were talking about.

Any help and advice is greatly appreciated.  I am having some blurred vision that can't seemed to be corrected by glasses.  My chief complaint (because without mental clarity I can't seem to focus on anything else) is mental confusion, forgetting to spell, not remembering how to say words, remember names, etc. I am seeing a psych doctor but I keep asking him if am I suffering from dementia or something b/c meds are not working and I can sense that I am not the same and I feel something is wrong with me. I am only 38 years old.  I was so relieved that a tumor was found to explain all of the symptoms that go along with a pituitary tumor but dishearten when my doctor basically said it was all in my head.  

My doctor is one of the best, she was highly recommended to me by someone that I know but I don't feel her dismissal is in line.  

[Pituiful]

Sorry for the late response.  That is a horrible story.  Your put your hope in medical professionals but they do not know everything.  After a while it gets expensive trying to prove to them what your intuition is already telling you.  I sure hope that this doesn't happen to me trying to prove something to someone and then years later what they THOUGHT was nothing turns out to be something.  

[rumpled]

Your endo is, sadly, the one that is in the dark. Find a pituitary center.

I had a 5mm on one side and it kept changing sizes every year - they kept telling me to ignore it. 12 years later I had a dynamic pituitary MRI and they found the 3mm tumor on the other side - I did have two! Pathology confirmed it as well. It is not common but I know a couple of people like me.

I have to disagree about the neurologist - they are not trained in pituitary. They will dismiss on size alone.

I hope you can find a good neuro-endo - get copies. Even some of them are duds.

[Pituiful]

My doctor is an endocrinologist.  In my heart, I believe that it was easily dismissed to explain the rationale that I am having no symptoms although i am reporting them.  I am so keen on my body.  I know something isn't right.  I understand that endos usually don't examine most patients and just read off of paper and base their diagnosis from there but I think everything has to be considered in a full circle.

I do have an neurologist that I was referred to by my rheumatologist (have fibro and arthritis) to explain the nerve pain but it was found only to affect to top half of my body (had nerve testing performed) but maybe with the discovery of the this other stuff maybe further test can be performed.

Thanks for your reply.

[LucyEvony]

Is your doctor a Neurologist? Or Endoneuro ?

If not i would get a neurologist to look at your MRI and blood test results.

I dont know why a doctor would say a radiographer doesnt know what they are talking about. Thats their speciality. They would be able to read an MRI better than someone who isnt reading them day in day out !!!

Lots of people have whats called " Incidental " Adenoma's on their pituitary gland. Many go through life never having a symptom or any problems and never even know they have one. many are picked up on autopsy.

Doctors knowing this some times are too quick to dismiss Incidental adenoma's. but if you have symptoms !!!!! Yes get a second opinion preferably a Neurologist