Home
Radiology Guides Anatomy Physio & Path Medicine Physics Contact
PITUITARY INCIDENTALOMA

Endocrinology

PITUITARY INCIDENTALOMA

1. Incidentally found on imaging.
2. Test visual fields formally.
3. Blood investigations - serum PRL, IGF-1, LH+FSH+testosterone, TSH+free T4, morning cortisol, 24-hour urinary cortisol/low-dose overnight dexamethasone suppression test.
4. If asymptomatic/no visual field disturbance - follow-up 6 monthly with repeat imaging.
5. Indications for surgery - visual field disturbance, impingement on the optic chiasm, apoplexy, mass effect (if large enough), acromegaly, Cushing's.


Avatar
REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

+ Home