PITUITARY MACROADENOMA

[SHENAAZ]

Hi, my husband recently found out that the approx. size of the enhancing mass was 2.2cm in longitudinal extent, 1.9cm AP and approx. 1.6cm in transverse diameter.  The mass extended superiorly into the suprasellar cistern and was slightly lobulated in appearance at its superior surfance.  The pituatary stalk itself could not be demonstrated on the sequences and the cavernous sinuses were well demonstrated with normal appearances and without involvement with the cavernous sinus.  The scans through the pituatary gland region does reveal the mass positioned within the pituatary fossa which was intermediate signal intensity on the T1 study, high signal intensity on the T2 study and did enhance fairly intensely with contrast medium on the post Gadolinium studies.  The internal carotid artery was well demonstrated within the cavernous sinuses.  Pse. explain how big is this tumour.  What is the best treatment option.  Regards, SHENAAZ


This discussion is related to Acromegaly My MRI results Please tell me what you think.

[rumpled]

No. This one is adrenal only as far as I know - it only involves hormones that are found and made in the adrenals.

I have had a few surgeries - a dozen.

Hope things go well for her!

[SHENAAZ]

Hi thanks for your reply.  Jee what havent you been through.  May God keep you well. This is my brother's wife.  She will be seeing the dr today to discuss.  Should she check her pituaitary gland?  Will keep you informed.

[rumpled]

Yes it does. Is this the sister of your husband? In which case the doctor should be on the lookout, perhaps for MEN - multiple endocrine neoplasia.

Pheo (I just can't spell all that!!!) is an adrenal tumor and the main symptom is high uncontrolled blood pressure. It can cycle as well. The surgery would be similar to the one I had - except only one adrenal would be removed.  She should find a surgeon that has done a great deal of laprascopic removal and few conversions to open as open surgeries are a huge (11" min) scar and a much much longer recovery and abdominal surgeries are not the most fun. I prefer the pituitary. I actually used a guy who did a lot of lab bands etc. as they do a lot of abdomnimal surgeries, cancer surgeries (mine did Sharon Osborne's cancer surgery!) and have the special equipment to make the surgery easy on the patient.

Her BP should drop once the tumor is out.

[SHENAAZ]

Hi, hope u doing well.  My sis in law has been diagnosed with phaeochromocytoma which is something to do with the adrenal glands and also endocrine system.  Any advice.  Tks.

[texasrose947]

I am very glad to hear your husband is doing well.  I hope my surgery will be just as successful.  I feel very confident about it and am a very strong person. I know that God will watch over me.  Thank you for your response.

[SHENAAZ]

Hi this is Shenaaz.  Thank God my husband is back to normal.  Rumpled was extremely helpful.  Getting the right surgeon i.e. skilled surgeon is of utmost importance.  After the removal of the pit tumor, my husband was in ICU for 2 days and 1 day in highcare and when he went to the general ward on the 4th day, he was already feeling better.  This is because the neuro surgeon removed the tumor in one piece and save the pit gland.  Again I cannot stop thanking God.  Wish you all the success.