Contemporary Management of Pituitary Adenomas

Abstract

This article reviews several recent advances in the management of pituitary adenomas. The development of dynamic contrast enhanced MRI scanning has enabled the detection of extremely small microadenomas. Wider recognition of the Hook effect has decreased the likelihood of misdiagnosing a prolactin secreting tumor. New therapeutic agents are available for the medical management of hormone secreting adenomas. Endoscopic endonasal pituitary surgery has increasingly been used to decrease the nasal discomfort associated with transseptal surgery. Endoscopic pituitary surgery is reviewed in this article. Finally, the role of radiosurgery in the treatment of pituitary adenomas is presented.