The evaluation and management of subclinical pituitary disease

The advent of sophisticated and sensitive radiologic techniques has undoubtedly improved the evaluation of patients with established endocrine disease. An inevitable consequence of the increased sensitivity and widespread availability of modern imaging is, however, the discovery of apparently asympt...

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Bibliographic Details
Published in:Postgraduate Medical Journal 1996-05, Vol.72 (847), p.258-262
Main Authors: Soule, S. G., Jacobs, H. S.
Format: Article
Language:English
Subjects:
Acromegaly - diagnosis
Acromegaly - therapy
Adenoma - diagnosis
Adenoma - therapy
Biological and medical sciences
Cushing Syndrome - diagnosis
Diagnosis, Differential
Endocrinopathies
Female
Humans
Hyperpituitarism - diagnosis
Hypopituitarism - diagnosis
Hypothalamus. Hypophysis. Epiphysis (diseases)
Medical sciences
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Pituitary Diseases - diagnosis
Pituitary Neoplasms - diagnosis
Pituitary Neoplasms - therapy
Prolactinoma - diagnosis
Prolactinoma - therapy
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Summary:The advent of sophisticated and sensitive radiologic techniques has undoubtedly improved the evaluation of patients with established endocrine disease. An inevitable consequence of the increased sensitivity and widespread availability of modern imaging is, however, the discovery of apparently asymptomatic mass lesions in endocrine tissues. The clinician is then required to determine the appropriate degree of often uncomfortable and costly investigation in a patient with no overt disease. This article attempts to provide guidelines for the management of the 'pituitary incidentaloma', a pituitary mass lesion evident on a computed tomography or magnetic resonance imaging scan performed for a reason other than the evaluation of the pituitary gland.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.72.847.258