Management of Non-secretory Pituitary Tumors When Surgery Fails-Management of Non-secretory Pituitary Tumors When Surgery Fails

Video Transcription

Video Summary

In this video, a series of cases involving patients with pituitary tumors is discussed. The first case involves a 10-year-old boy with headaches and visual disturbances. The boy undergoes surgery, but due to complications, only a biopsy is performed. The biopsy reveals a thyrotrope tumor, and the boy is treated with a somatostatin analogue, which successfully shrinks the tumor. The second case involves a 47-year-old man with visual loss and an extensive tumor. Surgery and radiotherapy are performed, but the tumor eventually regrows. The patient is then treated with temozolomide. The third case involves a 54-year-old man with visual loss and a large tumor. Surgery is attempted, but only a biopsy is performed due to complications. The tumor is found to be a gonadotropinoma, and the patient is treated with a somatostatin analogue. The fourth case involves a 75-year-old man with progressively deteriorating vision. The tumor is found to have extended into the cavernous sinus, and the patient is treated with radiotherapy. The last case involves a 44-year-old woman with progressively deteriorating vision. The tumor is resected, but residual tumor is found. The patient undergoes additional treatments, including repeat surgery and radiotherapy. Overall, the cases highlight the challenges and various treatment options for managing pituitary tumors when surgery fails.

Keywords

pituitary tumors

cases

patients

surgery

complications

biopsy

tumor shrinkage

treatment options

managing pituitary tumors


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