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benign pituitory tumor - 4 cm - test report attached - can it be cured with medicine
My dad is 70 years old and he got diagnosed with 4cm macrodenoma.
Symptoms he faces are
As pituitory tumor is sitting on optic chasm, Visual field test shows that his left eye vision is 95% gone
and his right eye vision is 50% gone .
He sleeps a lot.
His blood harmone test report shows following
Serum LH 4.90
Serum Prolactin 15.51
Serum FSH 52.31
Serum TSH 1.244
Serum FT4 1.04
Serum Cortisol (7-9AM) - 11.23
Testosterone 2.61
He doesnot have diabetes. His BP is normal.
Please advise further course of action. What should be done. thanks a lot
Symptoms he faces are
As pituitory tumor is sitting on optic chasm, Visual field test shows that his left eye vision is 95% gone
and his right eye vision is 50% gone .
He sleeps a lot.
His blood harmone test report shows following
Serum LH 4.90
Serum Prolactin 15.51
Serum FSH 52.31
Serum TSH 1.244
Serum FT4 1.04
Serum Cortisol (7-9AM) - 11.23
Testosterone 2.61
He doesnot have diabetes. His BP is normal.
Please advise further course of action. What should be done. thanks a lot
If it was a prolactinoma, prolactin levels would be high. And yes, medications could be used to debulk (normally) but his lesion is so large, I bet they would opt for surgery since he has lost vision.
I live in the US so I am not familiar with any centers in Australia. I always say to look at university hospitals an large hospitals. They are more likely to have them.
As for eating anything help... Wow I wish. His body is working against him big time and he needs treatment before things will really turn around.
As for the US, I would contact the NIH in Maryland as they do studies and may take on your father for a lower cost.
I live in the US so I am not familiar with any centers in Australia. I always say to look at university hospitals an large hospitals. They are more likely to have them.
As for eating anything help... Wow I wish. His body is working against him big time and he needs treatment before things will really turn around.
As for the US, I would contact the NIH in Maryland as they do studies and may take on your father for a lower cost.
Without ranges, it is hard to tell about tests (labs, countrys vary).
My guess is a lesion that large is a non-functioning pituitary lesion. Hate to say this but the eyesight likely won't come back.
As for cure... I hesitate to use that word and especially with a tumor so large and probably complex as your father's lesion. He will need a super experienced surgeon so he can maintain the eyesight he has, and also so that his hormones stay normal (I think they are normal).
Given his tumor has grown up into the optic area, the surgeon cannot remove all of it. He/she will only be able to debulk it. He will need radiation likely to kill off more of it, but if any is left, it can grow back and these tend to be fast growers (if that is the tumor type).
He needs a neuro endo at a pituitary center and a very skilled surgeon. Look into radiation types (they will push what they have, which may or may not be the best) and get copies of everything.
My guess is a lesion that large is a non-functioning pituitary lesion. Hate to say this but the eyesight likely won't come back.
As for cure... I hesitate to use that word and especially with a tumor so large and probably complex as your father's lesion. He will need a super experienced surgeon so he can maintain the eyesight he has, and also so that his hormones stay normal (I think they are normal).
Given his tumor has grown up into the optic area, the surgeon cannot remove all of it. He/she will only be able to debulk it. He will need radiation likely to kill off more of it, but if any is left, it can grow back and these tend to be fast growers (if that is the tumor type).
He needs a neuro endo at a pituitary center and a very skilled surgeon. Look into radiation types (they will push what they have, which may or may not be the best) and get copies of everything.
2 Comments
Hi Thanks for your reply
How to know is it prolactinoma?
Can it be treated with pills?
It was diagnosed 6-7 months back.
He does not want to do surgery in india. He is in India at the moment.
I live in Australia but I cannot find any pitutory centers here, Can you try to find anything here for me
What is the expense to do this in US
Does it need immediate attention?
How to know is it prolactinoma?
Can it be treated with pills?
It was diagnosed 6-7 months back.
He does not want to do surgery in india. He is in India at the moment.
I live in Australia but I cannot find any pitutory centers here, Can you try to find anything here for me
What is the expense to do this in US
Does it need immediate attention?
what should he eat to increase his testostorene levels to maintain energy in his body
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