Request an Appointment
Request Online Consultation
Enquiry form
Pineocytomas & Pituitary Adenoma
Pineocytomas
A kind of non-cancerous tumors especially seen in adults that derive from the pineal cells are called Pineocytomas. They are non-invasive, slow-growing and homogeneous. In most cases they develop at the center of the brain. It can be removed successfully with the help of microsurgical techniques.
Pituitary Adenoma
They are considered to be the most common intracranial tumors next to meningiomas, gliomas
and schwannomas. 10-15 % of all intracranial tumors are Pituitary Adenoma. Among the
pituitary adenomas, those smaller than 10 mm are called as microadenomas and those
exceeding 10 mm are macroadenomas.
Most of the Pituitary Adenomas are non-cancerous and slow-growing. Malignant pituitary
adenomas are very rarely seen. Adenomas are considered to be the most common disease that
affect the pituitary. They can be seen among children and more common among people in the
age group of 30s-40s. Most cases can be successfully cured with appropriate treatment options.
Signs and symptoms
- In Children: Headaches, bumping in objects placed on sides, visual difficulties etc.
- In adult females: Visual difficulties, irregularities in the menstrual cycles.
- In adult males: Loss of sexual desire, visual difficulties.
Other general signs and symptoms may vary according to the type of adenoma. Some of them are:
- Nausea or vomiting
- Headaches in the forehead area
- Sexual dysfunction and infertility
- Muscle weakness
- Unexplained weight gain or weight loss
- Early menopause
- Galactorrhea
- Depression, fatigue
- Pain in the joints, Osteoporosis
- Easy bruising
- Growth problems
- Carpal Tunnel Syndrome
Treatment
Pineocytomas pituitary adenoma is better to treat as soon as possible. Surgery is considered to be the best option and if the patient does not posses any other complications.
Surgery:
Trans Nasal Endoscopic Surgery uses the high definition optics and 4 hand techniques for the procedure. It is one of the best methods for removing the tumor completely with minimum chance for morbidity and because of the following factors, these procedure is considered to be a best choice by most of the clinics and professionals:
• Less invasive
• Fewer side effects
• Faster recovery as the
patient is able to leave the hospital in 2-4 days after the surgery.
Transcranial approach: It is chosen only when the Trans nasal approach fails to achieve the goals as the tumor crosses the coronal plane.
Radiation
Therapy:
Radiation therapy is the treatment method used in cases where the surgery and medication have proved to be ineffective to cure the tumor. It can also be a choice if there is a small residual or recurrent tumor.
Stereotactic Radiosurgery (Gamma Knife and Cyber knife):
Theis procedure is a combination of external beam radiotherapy with a technique that focuses the radiation through many different ports. Such procedure may evoke fewer injury to the tissues near to the pituitary gland.
Medication
Therapy:
Bromocriptine and cabergoline are the most prevalent agents used in medication therapy. Varied changes in the size of the tumors can be seen in most of the Prolactinoma patients with medication therapy. It can be also:
• Improve the vision
• Restore menstrual cycle and fertility in women
• Resolve headache.
Bromocriptine can have side effects and moderate doses are usually prescribed. Cabergoline is the long-acting oral dopamine which has been approved for hyperprolactinema by the Food and Drug Administration in USA. It has the fewer side effects when compared to that of Bromocriptine and can be taken twice in a week. It is more effective in patients whose prolactinomas are inresponsive to bromocriptine therapy.
Our Doctors
Dr Manish Vaish - Director
Director, Delhi
Dr. Yashpal Bundela MS Mch
Associate Director-Neurosurgery
Dr.Girish Rajpal MS Mch FINR
Neurointerventional Surgeon
Dr Hrishikesh Chakrabartty
Senior Consultant Neurosurgeon
Dr.Praveen Kumar MS Mch
Senior Consultant Neurosurgeon
Dr Rohit Pandey
Neurosurgeon
Dr Dipanshu Narula
Neurosurgeon
Dr. Manish Marda MD DM
Head of Neuroanesthesia, pain management and critical care
Dr. Shiwani Jain MD FNB
Senior consultant Neuroanesthesia, pain and critical care
Videos
Testimonial
Patient Testimonial - Santosh Kumari
Brain Tumor Treatment Patient Experience In Ghaziabad | Brain Tumor Surgery | Neurosurgeon In India
Neck Pain Treatment In Delhi | Spinal Cord Surgeon In Ghaziabad | Neurosurgeon In India
Spinal Injury Treatment In Ghaziabad | Spinal Cord Surgeon In Delhi, India
Spine Surgery For Back Pain In Ghaziabad | Lumbar Spinal Stenosis Treatment In Delhi, India
Spinal Cord Surgery In Ghaziabad | Slip Disc Treatment In Delhi, India
Successfull Skull Base Tumor Surgery In Noida | Brain Tumour Treatment In Uttar Pradesh, India
Back Pain Treatment In Uttar Pradesh - Patient Testimonial
Brain Tumor Patient Testimonial| Brain Tumor Surgery In Uttar Pradesh| Neurosurgeon| Dr Manish Vaish
