Patient's question:
Last October, a pituitary tumor was discovered due to vision loss and headaches, and an endoscopic transsphenoidal surgery was performed at Tiantan Hospital. However, there was significant residual tissue, so a second surgery was conducted in April 2014, where most of the tumor was removed. However, it was encased around the carotid artery and cavernous sinus and could not be completely excised. Three months after the surgery, in mid-July of this year, gamma knife radiotherapy was performed. Since then, the child has been experiencing severe headaches, and despite receiving mannitol infusions and various pain medications at the hospital, there has been no relief. A magnetic resonance imaging (MRI) taken at the local hospital showed irregular morphology in the sellar region, nodular T1 and T2 signals around the right carotid artery, left deviation of the pituitary stalk, and sunken sella base. The optic chiasm morphology and signals appeared normal. Now, the child is unable to care for themselves due to the headaches. They recently graduated from college but have been diagnosed with this condition. We kindly ask the doctor to review the examination results and provide any suggestions. Thank you very much to the entire family!Doctor's answer:
The case information you provided is too incomplete. I need more detailed information to better assess the condition.Based on the current data, it appears to be a complex growth hormone-producing pituitary adenoma. It has undergone two surgical treatments and gamma knife treatment, but the condition has still not been well controlled.
I recommend you come to the hospital for my outpatient consultation. It is likely that auxiliary drug treatment will be needed. The first priority is to control the growth hormone level to normal.