Navigation Links
Experts issue recommendations for evaluating and treating pituitary incidentalomas
Date:4/7/2011

Chevy Chase, MDToday, The Endocrine Society released a new Clinical Practice Guideline (CPG) for the evaluation and treatment of pituitary incidentalomas. The CPG is published in the April 2011 issue of the Journal of Clinical Endocrinology & Metabolism (JCEM), a publication of The Endocrine Society.

A pituitary incidentaloma is a tumor or lesion on or near the pituitary gland. It is found when a person has an imaging test for an unrelated reason. Doctors call this an "incidental" finding, meaning by chancethus, the name incidentaloma. This surprise finding is not uncommon. In studies of adults who had head imaging with MRI or CT scans for reasons other than pituitary disease, small incidentalomas were present in up to 20 percent of patients.

"Fortunately, incidentalomas are almost always benign and usually do not need surgery," said Pamela Freda, MD, of the Columbia College of Physicians & Surgeons in New York and chair of the task force that authored the CPG. "This new Clinical Practice Guideline makes recommendations for evaluating and treating a patient with a pituitary incidentaloma, and indicating when surgical therapy may be necessary."

Recommendations from the CPG include:

  • A complete history and physical examination, including a visual field examination if the lesion is touching the optic nerves, for patients with a pituitary incidentaloma;
  • Clinical assessments, neuro-imaging and visual field examinations for patients with pituitary incidentalomas not meeting criteria for surgical removal; and
  • Surgery for patients with pituitary incidentaloma if the tumor is leading to visual abnormalities, stroke-like damage to the pituitary gland (also known as a pituitary apoplexy) or if the tumor itself is producing excess hormones other than prolactin.

The Hormone Foundation, the patient education affiliate of The Endocrine Society, has published a companion patient guide to this CPG. The patient guide, which can be found online at www.hormone.org/Resources/upload/Pituitary-Incidentaloma-Web.pdf, defines the different types of pituitary incidentalomas, lists the condition's symptoms and explains how incidentalomas are treated and when surgery may be needed.

Other members of The Endocrine Society task force that developed this CPG include: Albert Beckers of CHU de Lige in Belgium; Laurence Katznelson of Stanford University in Calif.; Mark Molitch of the Northwestern Feinberg School of Medicine in Chicago, Ill.; Victor Montori of Mayo Clinic Rochester in Minn.; Kalmon Post of Mount Sinai Medical Center in New York, N.Y.; and Mary Lee Vance of the University of Virginia Health Science Center in Charlottesville.

The Society established the Clinical Practice Guideline (CPG) Program to provide endocrinologists and other clinicians with evidence-based recommendations in the diagnosis and treatment of endocrine-related conditions. Each CPG is created by a task force of topic-related experts in the field. Task forces rely on scientific reviews of the literature in the development of CPG recommendations. The Endocrine Society does not solicit or accept corporate support for its CPGs. All CPGs are supported entirely by Society funds.


'/>"/>

Contact: Aaron Lohr
alohr@endo-society.org
240-482-1380
The Endocrine Society
Source:Eurekalert

Related medicine news :

1. As CT Scans of Kids Soar, Experts Urge Oversight
2. Sports Gear Should Also Protect Eyes, Experts Say
3. Allowing Organ Donation by People With HIV Could Save Lives, Experts Say
4. U-M experts: Parents trust doctors most when it comes to information about vaccine safety
5. Little Oversight on Ingredients in Senior Dog Food, Experts Say
6. Social Media Has Good and Bad Effects on Kids: Experts
7. Keep Safety in Mind When Cleaning House, Experts Advise
8. Women Should See Ob-Gyn Annually, Experts Say
9. Keep Kids in Rear-Facing Car Seats Until 2, Experts Say
10. Trace Amounts of Radiation Reach California; No Health Risk, Experts Say
11. Radiation risks to health: A joint statement from leading scientific experts
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/28/2017)... ... June 28, 2017 , ... American Farmer proudly announces the participation of ... winning television series, scheduled to broadcast fourth quarter 2017. American Farmer airs Tuesdays at ... supplier of garden pea seed. As demand grew, the small company located in Moscow, ...
(Date:6/28/2017)... Gainesville, VA (PRWEB) , ... June 28, 2017 ... ... asset protection assistance and financial consultations to communities in northern Virginia and DC, ... Center to help provide for patients with Alzheimer’s and other disorders that lead ...
(Date:6/27/2017)... Zurich, Switzerland (PRWEB) , ... June 27, 2017 , ... ... crowd to manage token assets on the Ethereum blockchain, has released their technical ... but until now, there has been little systematic approach for determining which offerings will ...
(Date:6/27/2017)... ... June 27, 2017 , ... A January 18th ... to reach a staggering $6.81 billion by the year 2024 according to a new ... faster rate than those made from titanium. Los Angeles area clinic Beverly Hills Periodontics ...
(Date:6/27/2017)... ... June 27, 2017 , ... ... Foundation Fundraiser hygiene symposium in Mystic, CT. Covering the process and maintenance strategies ... experience in these popular periodontal procedures. Drs. Toback and Urbanski practice as experienced ...
Breaking Medicine News(10 mins):
(Date:6/16/2017)... Datascope Corp. is voluntarily performing a worldwide field correction of certain ... failure code.     ... PART NUMBER ... 0998-UC-0446HXX; 0998-UC-0479HXX 0998-00-3013-XX;  0998-UC-3013-XX ... This field correction also applies to any ...
(Date:6/14/2017)...  ivWatch LLC, a medical device company focused on ... is pleased to announce it was the Bronze Winner ... and Equipment at the 2017 Medical Design Excellence Awards ... The award was presented by Medical Device and Diagnostics ... New York during MD&M East, ...
(Date:6/14/2017)... N.C. , June 14, 2017  In 2016, ... Creative Startups pitch competition and came away ... reality platform is described by Forbes as "entering the ... American Medical Association as teaching "empathy to medical professionals ... the startup was recently named a finalist for the ...
Breaking Medicine Technology: