Pituitary tumour symposium

Question 1

What can happen if you have a pituitary tumour?

Answer 1

Gland too big
Presses on adjacent structures
Excess hormone secretion
Deficient Hormone secretion
Pressure on normal cells from tumour
Post Surgery or Radiotherapy

Question 2

What constitutes a pituitary service?

Answer 2

Biochemists
Clinical Nurse Specialists
Endocrinologists
Histopathologists
Medical Secretaries
MDT co-ordinator
Neurooncologists
 Neuroradiologists
Neurosurgeons

Question 3

How do we tackle a pituitary problem?

Answer 3

1. Take the History
2. Examine the patient
3. Do relevant special investigations
4. Discuss management with 5. Team & Patient
   - Decide on best Personalised treatment
   - Surgery
   - Radiotherapy
   - Medication
   - Watch & Wait

Question 4

History

Answer 4

Presenting complaint
Past History
Family History
Personal History
Gynecological History
Systematic enquiry

Question 5

Examination

Answer 5

ENT
Biopsy of nasal mass **
Vision
Neuro
BP
General examination

** Histology – Pituitary Tumour

Question 6

What vision problem often presents with pituitary tumours?

Answer 6

Bitemporal hemianopia

might lead them to lose ability to drive, lose independence