00:00
So how should we think about
pituitary tumors?
And what should you know?
Well, there's two tumors that occur
in the sellar or parasellar region.
00:10
And that's pituitary tumors
like we see for this patient,
and craniopharyngiomas.
00:15
These are the most
common tumors and the ones
that you should think about,
for patients or clinical vignettes.
00:21
How the patients present?
Well, they can present
in two ways.
00:25
from compression
of surrounding structures,
either the pituitary gland
or the optic chiasm,
which is closely approximated
to this region,
or from secretion of hormones
in excess hormonal function.
00:40
Two-thirds of pituitary adenomas
are functional,
they're hormones secreting.
00:44
And prolactinoma
are the most common,
and the other third will present
from local compression
of surrounding structures.
00:52
How do we treat
hormone secreting tumors
and specifically prolactinomas?
Well in this patient we've heard
about Bromocriptine or cabergoline,
those are dopamine agonists
that can treat prolactinomas.
01:04
For other types of tumors, like
those secreting growth hormone,
we're going to learn about
Octreotide,
for tumors that secrete ACTH
or create Cushing's disease,
which we'll talk about Pasireotide
is going to be a treatment of choice
And these hormonal treatments
are important to consider
in these patients.