Pituitary adenoma: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Pituitary adenoma: management. Serum prolactin: >200ng/mL is significant, Insulin-like growth factor 1 (IGF-1). Fully referenced neurology checklist.

Endocrine tests

  • Serum prolactin: >200ng/mL is significant
  • Insulin-like growth factor 1 (IGF-1)
  • Growth hormone (GH)
  • Luteinizing hormone (LH)
  • Follicular stimulating hormone (FSH)
  • Thyrotropin
  • Adrenocorticotropic hormone (ACTH) stimulation test
  • Morning cortisol
  • Thyroid stimulating hormone (TSH)
  • Free T4
  • Dexamethasone suppression test
  • 24-hour urinary free cortisol

Other investigations

Locked: subscribe to see this section.

Monitoring macroadenomas

Locked: subscribe to see this section.

Monitoring microadenomas

Locked: subscribe to see this section.

Medical treatment: indication

Locked: subscribe to see this section.

Surgical treatment: indications

Locked: subscribe to see this section.

References

  1. Serhal D, Weil RJ, Hamrahian AH. Evaluation and management of pituitary incidentalomas. Cleve Clin J Med 2008; 75:793-801.
  2. Levy A. Pituitary disease: presentation, diagnosis, and management. JNNP 2004; 75(Suppl 3):iii47-iii52.

Related checklists

Loading...