Long-term management and outcome for pituitary tumors

As we enter the twenty-first century, neurosurgeons and endocrinologists are armed with a greater variety of treatment options for pituitary adenomas, both secreting and nonsecreting. These include an ever-increased availability of different drugs that can be used for suppression of hypersecretion of pituitary adenomas in conjunction with their shrinkage (at least for the duration of the treatment), surgical techniques that have greatly improved, and newer techniques, such as endoscopic microsurgery, that have been added to the surgeon's armamentarium. Radiation therapy techniques have also improved in terms of structuring the radiation field as well as in terms of dosimetry and delivery.