Is surgery necessary for prolactinoma?

Surgery. Surgery to remove the tumor is generally an option if drug therapy for prolactinoma doesn’t work or you can’t tolerate the medication. Surgery may be necessary to relieve pressure on the nerves that control your vision.

When is surgery needed for prolactinoma?

Surgery is a reasonable first-line therapy in patients with micro-prolactinomas that do not invade the cavernous sinus and whose prolactin level is less than 250 ng/ml. In these patients, long term remission is generally 80-90%.

How long does prolactinoma surgery take?

How long does the pituitary surgery take? Most patients are in the operating room for 3-4 hours, although occasionally it can take longer or may be even shorter. If the time goes over 4 hours, do not be alarmed.

Is prolactinoma completely curable?

Prolactin causes a woman’s breasts to secrete milk after pregnancy. Tumors in prolactin-secreting cells of the pituitary cause too much prolactin to get into the bloodstream. Prolactinomas are rare and occur in 1 or 2 people in 10,000. Most are curable.

What happens if you leave a pituitary tumor untreated?

Most pituitary tumors are curable, but if left untreated, they can lead to serious complications such as complete vision loss.

How long are you in the hospital after pituitary tumor surgery?

Recovery Time at the Hospital A typical hospital admission for patients undergoing pituitary tumor surgery lasts 2 to 3 days; overnight in the intensive care unit (ICU) and 1or 2 more on the nursing floor.

How painful is pituitary tumor surgery?

The cuts the doctor made (incisions) may be sore for about 5 days after surgery. You may also have numbness and shooting pains near your wound, or swelling and bruising around your eyes. As your wound starts to heal, it may start to itch. Medicines and ice packs can help with headaches, pain, swelling, and itching.

What happens if prolactinoma goes untreated?

Untreated, a prolactinoma can cause: Reduced hormone production if the tumor presses on the pituitary gland, which may lead to symptoms such as weight loss or fatigue. Osteoporosis (brittle, fragile bones) Pregnancy complications.

Is prolactinoma serious?

Although prolactinoma isn’t life-threatening, it can cause vision difficulties, infertility and other problems. Prolactinoma is the most common type of hormone-producing tumor that can develop in your pituitary gland.

Is there a cure for prolactinoma?

There’s not really a cure that can get rid of prolactinoma, but there are treatments that can successfully reduce or eliminate symptoms. Most cases of prolactinoma are treated with medications (most commonly drugs called dopamine agonists) that regulate prolactin levels and help shrink tumors.

What to expect after pituitary tumor surgery?

Recovery from pituitary tumor surgery is usually a long procedure stretching over months. During this period, your cortisol levels are very low. This may lead to a feeling of low energy, flu like symptoms, pain, body aches etc. As your body gets accustomed to the lower levels of cortisol ,…

How does prolactinoma affect the body?

Found on the pituitary gland, prolactinoma is a non-cancerous tumor that causes the body to overproduce the hormone prolactin which stimulates breast milk. It decreases levels of estrogen for women and testosterone for men. Prolactinoma is not life-threatening but, if left untreated, it can cause infertility and impaired vision.

Is prolactinoma a malignant?

No, a prolactinoma is not a brain tumor. It is a tumor, yes. And it is in your head, but not your brain. While a brain tumor is a group of abnormal cells that start in the brain, the pituitary gland is not a part of your brain.