Are pituitary tumors prone to recurrence?

Written by Chen Yu Fei
Neurosurgery
Updated on February 04, 2025
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Pituitary tumors in the brain are benign tumors that grow slowly. When the tumor size is relatively small, there are generally no clear symptoms or signs, and most patients can work, live, and study like normal people. It is recommended to treat pituitary tumors with surgical methods. Most pituitary tumors are benign. If they can be completely removed through microscopic surgery, or through the transnasal transsphenoidal approach, minimally invasive surgery can achieve ideal treatment results and generally will not recur. However, for individual patients with pituitary tumors, if the tumor is malignant, it may easily adhere to surrounding tissues in the early stages, making it difficult to completely remove surgically, thus it is prone to recurrence.

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Written by Chen Yu Fei
Neurosurgery
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Is a pituitary tumor scary?

For pituitary tumors, if not treated promptly and effectively, the continuous enlargement of the tumor often causes patients to experience recurring symptoms such as headaches, dizziness, nausea, and vomiting. Additionally, a series of endocrine hormone imbalances accompanying the tumor often manifest various symptoms and signs. When the pituitary tumor grows to a certain size, it can also potentially cause pituitary apoplexy. Therefore, it is advisable for patients with pituitary tumors to seek timely medical attention at local hospitals and undergo early surgical treatment. By opting for endonasal transsphenoidal surgery to completely remove the pituitary tumor, most patients can achieve very good treatment outcomes, with a gradual alleviation of existing symptoms.

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Written by Guo Zhi Fei
Neurosurgery
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Which department should I go to for a pituitary tumor?

Pituitary tumors are a relatively common type of benign intracranial tumor. The main treatment method is surgical intervention, and patients usually see a neurosurgeon for this. The surgical approach can be minimally invasive, performed through the nasal cavity, and typically, complete removal of the tumor is achievable with a generally good prognosis. However, there is a type of pituitary adenoma called prolactinoma, which is sensitive to bromocriptine. It can be treated with bromocriptine without surgery, leading to a significant reduction or even disappearance of the tumor. Nevertheless, medication should be guided by a neurosurgeon, and it is still necessary to visit the neurosurgery department.

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Written by Chen Yu Fei
Neurosurgery
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How long does pituitary tumor surgery take?

Generally, for patients with pituitary tumors, it is usually recommended to choose endonasal transsphenoidal minimally invasive surgery to completely remove the pituitary tumor. If no unexpected circumstances occur during the surgery, the process typically takes about two hours, though this can vary depending on the size of the tumor and how smoothly the surgery proceeds. Patients are given general anesthesia before the surgery, which involves inducing anesthesia and ensuring it is administered successfully. After the surgery, patients are moved to a recovery room to recuperate for a period of time. Once the patient gradually regains consciousness, the tracheal tube is removed, and they are returned to their hospital room. Therefore, the total time involved is approximately three to four hours.

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Written by Chen Yu Fei
Neurosurgery
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Can pituitary tumors cause headaches?

For patients with pituitary tumors, headaches may occur. Most patients in the early stages often experience mild headaches located behind the eye sockets, the forehead, and on both sides of the temporal area. These headaches are generally tolerable and occur intermittently. They are mostly caused by the stimulation of the tumor or the increased pressure inside the sella. When the tumor enlarges to a certain extent and breaks upward through the diaphragm sellae, headaches are often alleviated. However, if the tumor further grows into surrounding tissues, it might compress important blood vessels and nerves, resulting in recurring pain with increasing severity.

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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.