Got My CT Results

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dar2017
New Member


Date Joined Sep 2017
Total Posts : 14
   Posted 9/22/2017 8:33 PM (GMT -6)   
Ill defined 6mm hyperdensity at the level of the sella turcica. This could represent a pituitary lesion, such as adenoma.

What do I need to know?

pitmom
Veteran Member


Date Joined Jan 2015
Total Posts : 2113
   Posted 9/23/2017 7:24 AM (GMT -6)   
Hello. I don't know what symptoms lead you to have the C.T.

My daughter had a microadenoma on her pituitary gland that caused her Cushing's disease.

I don't know what testing you've already had or what type of doctor you've been seeing.

If tests to see if the adenoma is secreting hormones has not been done yet, that will probably be the next step as not all of them do.

We found a ton of information on the Cushing's help boards and have since been in contact with the Pituitary Network Association.

My daughter went to a University Hospital for treatment and her surgery. Might be worth checking out for yourself.
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, multiple wrist surgeries, multiple herniated discs, tarlov cysts, whiplash, bursitis of hips, grade 5 right shoulder separation and torn labrum, ovarian cysts, fibroid tumors of the uterus

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14987
   Posted 9/23/2017 11:51 AM (GMT -6)   
Dar, I am not familiar with what was reported on your Ct Scan. What is your dr recommending now that you have the results? Are you seeing a specialist or a GP?
Susie
Moderator in Chronic Pain & Psoriasis Forums

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 661
   Posted 9/23/2017 2:33 PM (GMT -6)   
Dar:
I have a 1 cm pituitary macroadenoma.

Pituitary adenomas are benign 99% of the time. They are commonly found as incidental findings on a CT scan or MRI. Pituitary adenomas are fairly common, with 1 in every 5 people having a benign lesion.

Pituitary adenomas are classified as functional (secreting excessive hormone) or non-functional (inert, do not secrete any hormone).

Pituitary adenomas smaller than 1 cm are called microadenomas, larger than 1 cm are called macroadenomas. Size has little bearing as to a lesions effects. A small microadenoma that secrets excessive hormone is often more debilitating than a nonfunctional macroaedenoma.

Larger adenomas have the risk of compressing the optic chaism with potential visual loss.

Many pituitary adenomas need no treatment at all. Watch and wait strategy.

Some adenomas are treated with medications that can shrink the mass (ex. A prolactin is treated with medication and has a high rate of treatment success). Some adenomas are surgically removed, especially I. The case of Cushings's disorder. Surgical technique uses trocars that are inserted up the nose and sinus cavity to reach the sella tursica. Transphenoid surgery is performed by neurosurgeons who specialize in the technique and requires a larger, urban hospital with specialty OR with an intra-operative MRI.

What are your presenting symptoms that warranted the MRI? Are you seeing an endocrinologist?

Best wishes,
Karen
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)

dar2017
New Member


Date Joined Sep 2017
Total Posts : 14
   Posted 9/23/2017 3:59 PM (GMT -6)   
I actually went in for pain, stiffness, muscle spasms, migraines, tingling, numbness. These symptoms seem to not be related to the pituitary adenoma. From what I have read on symptoms. If I am wrong, please let me know. Thank you all for the info.

Back to the drawing board.....*sigh*

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 661
   Posted 9/25/2017 8:24 AM (GMT -6)   
Dar:
Your presenting symptoms are not symptoms normally linked to a pituitary adenoma. Your pituitary adenoma is most likely not the source of your symptoms and is likely an incidental finding. As I mentioned, pituitary adenomas are incidental findings in 1 out of every 5 people. They are found through CT or MRI imaging when evaluating for another health issue - as appears to be the case for you.

None the less, it might be wise to meet with an endocrinologist to have blood chemistry panels drawn for each of the primary pituitary hormones to make sure that the adenoma is not functional and producing excess hormone. Problematic pituitary adenomas most commonly become noticeable when people are in their early 50s. The pituitary is less competent to compensate as a person ages. Functional hormone producing adenomas make their presence known most often in individuals in their early 50s.

If you are younger, it may be wise to follow the adenoma with routine imaging and/or blood chemistry of the pituitary hormones once a year.

A pituitary adenoma can also present as an increase in psychological symptoms - anxiety, obessive compulsive behavior, social phobias, eating disorders, sensitivity to lights and sounds. Pituitary hormonal imbalances often first present as psychological symptoms more so than physical symptoms.

Primary pituitary hormones: Growth hormone; ACTH; TSH; prolactin; vasopressin; FSH; LH; estrogen; progesterone; testosterone. Blood chemistry studies would need to follow each of the hormone levels.
Karen
Pituitary failure, wide-spread endocrine dysfunction
Addison's disease
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)
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