How long does it take to recover after pituitary tumor surgery?

Written by Chen Yu Fei
Neurosurgery
Updated on December 08, 2024
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For patients with pituitary tumors, about six months to a year after undergoing surgery, as the endocrine hormones in the body gradually return to normal, the patient's original symptoms or signs gradually diminish or even disappear, and the quality of the body also gradually recovers. At this time, patients often recover well. For such patients, it is necessary to visit the local hospital regularly after surgery for follow-up appointments, to have a cranial MRI to help assess the effects of the pituitary tumor surgery recovery, and to have blood drawn to test the endocrine hormones in the body to see if they have returned to normal levels. If there are still abnormalities, it is advisable to take medication to regulate them.

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Written by Chen Yu Fei
Neurosurgery
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What is a pituitary tumor?

Pituitary tumors refer to a type of benign tumor that occurs at the site of the pituitary fossa. Generally, they grow relatively slowly. In the early stages of the disease, there are usually no obvious symptoms or signs. Some patients may occasionally feel mild headaches or dizziness, which most can tolerate. As the size of the pituitary tumor gradually increases, it often affects the surrounding critical tissues, nerves, and organs, primarily impacting pituitary function, thereby leading to pituitary hypofunction. This affects the secretion of endocrine hormones in the body, causing abnormal secretion of endocrine hormones, and resulting in a series of symptoms and signs. For example, male patients may experience abnormalities in the secretion of male hormones, leading to difficulties with erection, while female patients are likely to experience menstrual disorders and irregular menstruation.

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Written by Chen Yu Fei
Neurosurgery
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Can pituitary tumors heal on their own?

Under normal circumstances, pituitary tumors generally do not heal spontaneously. Pituitary tumors are benign tumors and although they grow slowly, they tend to continue growing. When they enlarge to a certain extent, they produce a series of symptoms and signs, such as headaches behind the eye sockets, the forehead, and both temporal sides. If the tumor breaks through the sellar diaphragm, it might also affect the optic nerve, leading to decreased vision and visual field defects. Moreover, it can severely erode the pituitary gland, causing symptoms and signs like decreased pituitary function, endocrine hormone disorders, and bringing significant suffering to the patient.

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Written by Chen Yu Fei
Neurosurgery
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Can pituitary tumors be cured?

Currently, for the treatment of pituitary tumors, it is generally recommended in clinical practice to opt for a complete resection via a transnasal-transsphenoidal approach. Most patients can achieve good therapeutic outcomes through surgery. The main goals of surgically treating pituitary tumors are to remove the tumor, decompress the visual pathways, and help restore and maintain the function of the pituitary and other neurological functions. Most patients can achieve good therapeutic results after treatment. Additionally, after receiving treatment, patients' original symptoms gradually alleviate or even disappear, and no longer worsen. Therefore, from this perspective, it is recommended that all symptomatic pituitary tumor patients should timely seek medical consultation at local hospitals and receive early treatment.

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Written by Chen Yu Fei
Neurosurgery
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Is a pituitary tumor easy to treat?

Currently, the treatment technology for pituitary tumors is relatively mature. For early-stage pituitary microadenomas that are only a few millimeters in size, and where vision and visual fields are not yet affected, a definite diagnosis can be made. Under the surgical microscope, complete removal surgery is achievable, and it is possible to preserve the normal function of the pituitary gland. As surgical experience continues to increase, not only can tumors within the sella be removed, but even large adenomas or giant pituitary adenomas growing above the sella can be safely excised. Therefore, for patients with pituitary tumors, it is advisable to choose to visit a local hospital as early as possible and opt for a complete removal of the pituitary tumor through a transnasal transsphenoidal approach.

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Written by Chen Yu Fei
Neurosurgery
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What to do if a pituitary tumor recurs?

If a pituitary tumor recurs, there is no need to worry excessively. Instead, it is advisable to actively visit the local hospital for a cranial MRI with contrast to determine the specific location and severity of the recurrent pituitary tumor. Treatment plans should be decided based on the patient's condition. For patients who are eligible for surgery, it is recommended to opt for surgical removal of the pituitary tumor again. If the patient is elderly and frail and cannot withstand surgery, conservative treatment is recommended. Treatment can be carried out through medication or radiation therapy, among other methods, to help improve symptoms and enhance the quality of life.