Postoperative endocrinological follow-up

Olaf M. Dekkers, Alberto M. Pereira

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Surgery for pituitary adenomas is generally undertaken to (1) reduce the symptoms of tumor mass effects such as visual field defects or (2) to normalize, or at least reduce, hormonal overproduction in patients with functioning pituitary adenomas, such as acromegaly or Cushing’s disease. The postoperative endocrinological follow-up should consist of careful assessment of pituitary function to assess newly developed deficiencies or recovery of pituitary function, and assessment of remission if surgery was undertaken in functioning adenomas. Complete postoperative assessment of pituitary function is required for functioning adenomas, as (functional) pituitary axis insufficiencies can also occur for hormones initially elevated (for example pituitary-adrenal insufficiency after surgery for Cushing’s disease). Importantly, for most pituitary axes, recovery of function has been documented up till 1-2years after surgery.
Original languageEnglish
Title of host publicationPituitary Tumors: A Comprehensive and Interdisciplinary Approach
PublisherElsevier
Pages439-446
ISBN (Electronic)9780128199497
DOIs
Publication statusPublished - 1 Jan 2021
Externally publishedYes

Publication series

NamePituitary Tumors: A Comprehensive and Interdisciplinary Approach

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