Patient's question:
The child is 18 years old and in their senior year of high school, with good academic performance. When the symptoms occurred: there was a (fuzzy) nail-sized spot in their vision, making it difficult to focus, accompanied by pain in both temples, pain behind the ears and neck, nausea, and dry vomiting. Blood tests showed: growth hormone 14.94 ng/mL, while other chemical (chemical transmittance) tests were normal. MRI examination revealed: a rounded pituitary gland, slight compression of the optic chiasm, and it is recommended to perform an exploration of the sellar region.Doctor's answer:
Pituitary tumors can recur with hormone hypersecretion syndromes, such as acromegaly caused by excessive growth hormone secretion; or hormone hyposecretion syndromes. When a non-functioning tumor shrinks and normal pituitary function is destroyed, amenorrhea, infertility, or premature ejaculation often occur first and are most common. The treatment of pituitary tumors mainly includes surgery, medication, and radiation therapy. Because no single method can achieve complete self-healing, each treatment option has its own advantages and disadvantages. Individualized treatment plans should be developed based on the size of the pituitary tumor, the condition of hormone secretion, the presence of complications and comorbidities, the patient's age, fertility considerations, and the patient's financial situation.