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What is Pituitary Adenoma

A pituitary adenoma is an abnormal, benign(non-cancerous) tumor or growth in the pituitary gland that does not spread beyond the skull.

What are Causes of Pituitary Adenoma?

  • Genetic
  • Inherited from parents
  • Radiation exposure
  • Chemical exposure

What are Symptoms of Pituitary Adenoma?

  • Headache
  • Peripheral vision loss
  • Menstrual problems in women
  • An erectile dysfunction of men
  • Infertility
  • Inappropriate lactation
  • Cushing's syndrome- a combination of weight gain, high blood pressure, diabetes, and easy bruising that is caused by overproduction of the hormone Adreno Cortico Tropic Hormone(ACTH)
  • Acromegaly-enlargement of the arms or legs and thickening of the skull and jaw caused by too much growth hormone

How is Pituitary Adenoma Diagnosed?

  • CT_SCAN
  • MRI_SCAN
  • VISUAL FIELD TEST-If you have visual problems.
  • BLOOD TEST
  • URINE TEST

What is Treatment For Pituitary Adenoma?

Three types of radiation suggested –
Standard External Beam Radiation therapy
Standard external beam radiation therapy uses photons. These photons are generated using a linear accelerator. Treatment is generally delivered in fractions, one "fraction" per day.

Proton Beam Treatment-
Proton beam treatment employs a type of radiation called protons. Proton therapy can generally be more effective than photon therapy, with the ability to deliver higher doses of radioactivity.

Higher doses of proton radiation have better chances of tumor control and pose a more increased risk of surrounding normal brain tissue.

Stereotactic Radiosurgery-
Stereotactic radiosurgery combines standard external beam radiotherapy with a technique that focuses the radiation through many different portals. Stereotactic radiosurgery treatment tends to cause less damage to tissues adjacent to the pituitary gland and can be delivered fewer appointments.

Medication
The most commonly used drugs are bromocriptine or cabergoline. Using these drugs, the tumor size will be reduced to varying degrees, resulting in improved vision, resolution of headaches, and restored menstruation and in women.

  • SURGERY

Anterior Skull Base Surgery for Pituitary Adenoma

  • Anterior skull base surgery procedures are performed within the skull base behind the nose.
  • The surgery has been transformed over the last decade, with minimally invasive techniques replacing open surgery in many cases.
  • Our top surgeons can now remove unimaginably large tumors through the nostrils instead of incisions, using the face's natural openings and manipulating tiny endoscopes to navigate to the lesions.
  • Minimally invasive endoscopic skull base surgery is an option for a pituitary tumor. Although these tumors are benign, they cause hormonal problems, i.e., tumors may destroy hormone-producing cells or secrete hormones themselves, or they may cause problems with vision, growth, fertility, or balance. Many are inaccessible through open surgery, and for those patients, the endonasal route, through the nostrils, represents the only hope for a cure.

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  • Dr. Neetu really cares for her patients & this clearly shows. My experience with her has been very good. She is very patient, clearly explains the treatment & answers any queries regarding it. Thank you for the services.

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  • Dr Neetu Modgil was excellent. Thorough, kind and patient, she did an excellent job. I will be requesting her services for my next appointment.

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  • It was good experience with doctor Neethu the way she treated me, felt like she treated me like her kid, Listens to our problems patiently,Her analysis and diagnosis was good.Clinic's ambience was quite good as well. I'd recommend her.

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  • Visited for Ear wax. Explained well to me. removed my ear wax very well. Dr. is Very friendly with me.

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  • She listen to my problem very attentively and prescribed medicine to take care of my problem. Besides being a good doctor she’s a wonderful human being too.

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  • I went for throat infection and clicking sound. She was very patient to hear my issue. Then did her examination and explained me the issue. She don't writes unnecessary tests and give minimum and required medication. I wish to have...

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  • she is a friendly doctor and explained the disease very well. She had helped me out in my difficult times. Am very thankful yo her. Would like to recommend her to others.

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