Pituitary Tumors

Delray Medical Center provides comprehensive diagnostic services and treatment for patients with pituitary tumors. Our team of specialists includes neurosurgeons, ear, nose & throat surgeons, endocrinologists, radiologists, pathologists and specially trained nurses.

Pituitary Gland

Tumors that begin formation in the pituitary gland are called pituitary tumors. The pituitary is a small gland that is located below the brain and above the nasal passages. The pituitary sits in a tiny bony space called the sella turcica.

The pituitary gland is connected directly to the hypothalamus. This connection provides the link between the brain and the endocrine system which facilitates in the creation of hormones. The pituitary gland is the gland that helps regulate the hormones that are created in the rest of the body. The pituitary gland has 2 parts, the anterior pituitary and the posterior pituitary.

Pituitary Tumor Formation

Most of the pituitary tumors that form are considered to be benign (non-cancerous) glandular tumors called pituitary adenomas. These tumors do not spread to other parts of the body, like other malignant cancers can do. Even though most pituitary tumors are benign, they have the ability to cause significant health problems because of their location near the brain. Many pituitary tumors secrete excess hormones which can cause problems for normal hormone function. While many pituitary tumors are benign, pituitary cancers (pituitary carcinomas) are considered to be very rare.

Treatment for Pituitary Tumors

Pituitary tumors are treated by using:

Surgery
Radiation therapy
Medicines that stop the tumor from making hormones

Surgical treatment of a pituitary tumor is necessary when the tumor compresses nerves and arteries at the base of the brain, or when the tumor causes loss of vision by putting pressure on optic nerves. There are two types of pituitary surgery including the minimally invasive endoscopic transsphenoidal approach and the transcranial approach, also known as craniotomy.

Women Have a Higher Risk of Stroke

Stroke is the 4^th leading cause of death in women and kills more women than men. In fact, one in five women has a stroke.

The higher stroke risk in women may be due to:

Atrial fibrillation – This increases stroke risk among women over age 75 by 20 percent.
Migraines with aura –Migraine with aura is associated with ischemic stroke in younger women, particularly if they smoke or use oral contraceptives. Smokers with migraines accompanied by aura should quit immediately.
High Blood Pressure - While you may have had normal blood pressure most of your life as a woman, your chances of developing high blood pressure increase considerably after menopause. In fact, women that are just 20 pounds or more overweight, have a family history of high BP or have reached menopause are known to have an increased risk.
Hormone replacement therapy – This type of therapy should never be used to prevent stroke in post-menopausal women.
Birth control pills – Birth control pills have become much safer over time, but women who are already at risk of stroke should take extra precautions. Get screened for high blood pressure before the pill is prescribed. And never smoke while taking oral contraceptives.
Pregnancy –The risk of stroke in pregnant women is 21 per 100,000, with the highest stroke risk during the third trimester and post-partum. Those with high blood pressure should be treated with medications and monitored closely.
Preeclampsia – This is high blood pressure that develops during pregnancy. Preeclampsia doubles the risk of stroke later in life. If you have any history of hypertension, talk to your healthcare provider about taking low-dose aspirin starting in the second trimester.

Because of the high stroke risk in women, it’s important to take care of yourself; know & manage your blood pressure, get lots of rest, eat the right foods and be physically active. And don’t smoke!

American Heart Association: https://www.stroke.org/en/about-stroke/stroke-risk-factors/women-have-a-higher-risk-of-stroke

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