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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Pregnancy and pituitary adenomas.
Andrea Glezer1, Raquel S Jallad, Marcio C Machado
1Neuroendocrine Unit, Division of Endocrinology and Metabolism, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil - mdbronstein@uol.com.br.
Pituitary adenomas frequently cause infertility. Improved treatments now allow pregnancy, but hormonal imbalances and tumor growth during pregnancy require careful management for both mother and child.
Area of Science:
- Endocrinology
- Reproductive Medicine
- Oncology
Background:
- Pituitary adenomas are common tumors affecting hormonal balance.
- Infertility is a frequent complication due to hormonal dysregulation.
- Advances in treatment have made pregnancy achievable for affected women.
Purpose of the Study:
- To review the literature on managing pregnant women with pituitary adenomas.
- To discuss the impact of hormonal imbalances on pregnancy outcomes.
- To explore how pregnancy affects pituitary tumors, particularly prolactinomas.
Main Methods:
- Literature review of studies on pituitary adenomas and pregnancy.
- Analysis of hormonal hypersecretion and hyposecretion effects.
- Examination of tumor behavior during pregnancy.
Main Results:
- Hormonal imbalances significantly impact pregnancy outcomes.
- Pregnancy can influence pituitary tumor growth, especially prolactinomas.
- Specific management strategies are crucial for acromegaly and Cushing's disease.
Conclusions:
- Careful monitoring and management are essential for pregnant women with pituitary adenomas.
- Treatment strategies must consider the dynamic interplay between pregnancy and pituitary tumors.
- Successful outcomes depend on individualized care for prolactinomas, acromegaly, and Cushing's disease.
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