Niet-functionerende macroadenomen van de hypofyse: diagnostiek, behandeling en follow-up

O. M. Dekkers, K. J. Neelis, R. J. W. de Keizer, J. H. C. Voormolen, A. M. Pereira, J. A. Romijn

Research output: Contribution to JournalArticleProfessional

5 Citations (Scopus)


*Nonfunctioning pituitary adenomas are benign tumours characterised by the absence of hormone overproduction. *Clinical symptoms are caused by the mass effects of the tumour. The main symptoms are pituitary insufficiency, visual field defects, vision impairment and headache. *Treatment is unnecessary for tumours less than 1 cm, and an expectative approach can be used for some patients with larger tumours but no visual field defects. *Transsphenoidal surgery is indicated for patients with visual field defects. *Because nonfunctioning adenomas can recur, lifelong follow-up after treatment is necessary. *Poor quality of life has been reported in treated patients with nonfunctioning pituitary adenomas, which may be due to the intrinsic imperfections of hormonal replacement therapy
Original languageDutch
Pages (from-to)792-796
JournalNederlands Tijdschrift voor Geneeskunde
Issue number14
Publication statusPublished - 2008

Cite this