Vnitr Lek 2022, 68(2):127-130 | DOI: 10.36290/vnl.2022.024
Pituitary incidentaloma
- 3. interní klinika - klinika endokrinologie a metabolismu, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha
Pituitary incidentaloma are being accidentally found during imaging procedures in approximately 10% of normal population. Facing pituitary incidentalomas endocrinologists have to decide about further management based on the assessment of hormonal activity, aetiology, size, and possible compressive symptoms. Treatment of choice for prolactinomas is medical therapy. Surgical treatment is a treatment of choice for other hormonally active tumours and in case of complications as defects of visual field, pituitary apoplexy with compressive symptoms, ophthalmoplegia respectively. Tumour not indicated for surgical treatment are followed-up by imaging techniques and in indicated cases also by endocrinological or visual field evaluation.
Keywords: diagnosis, follow‑up, incidentaloma, pituitary, therapy, tumours.
Published: April 4, 2022 Show citation
References
- Sano N, Oyama K, Tahara S et al. A survey of pituitary incidentaloma in Japan. Eur J Endocrinol 2003;149:123-127.
Go to original source... 
Go to PubMed... - Fainstein Day P, Guitelman M, Artese R et al. Retrospective multicentric study of pituitary incidentalomas. Piuitary 2004;7:145-148. Go to original source... Go to PubMed...
- Freda PU, Beckers AM, Katznelson L et al. Pituitary incidentaloma: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96(4):894-904. Go to original source... Go to PubMed...
- Molitch ME. Pituitary tumours: pituitary incidentalomas. Best Practice & Research: Clinical Endocrinology & Metabolism 2009;23:667-675. Go to original source... Go to PubMed...
- Lania A, Beck‑Peccoz P. Pituitary incidentalomas. Best Practice & Research: Clinical Endocrinology & Metabolism 2012;26:395-403. Go to original source... Go to PubMed...
- Vasilev V, Rostomyan L, Daly AF et al. Pituitary "incidentaloma": neuroradiological assessment and differential diagnosis. Eur J Endocrinol 2016;175(4):R171-R184. Go to original source... Go to PubMed...
- Freda PU, Post KD. Differential diagnosis of sellar masses. Endocrinol Metab Clin North Am 1999;28:81-117. Go to original source... Go to PubMed...
- Melmed S. Evaluation of pituitary masses. In: DeGroot LJ, Jameson JL (eds.) Endocrinology. 5th Edition, 2006, Elsevier Saunders: Philadelphia, USA 2006:387-395. ISBN: 978-9997636768.