Doctor for Pituitary Diseases in Mulund

Tumors
Cushing / Acromegaly / Prolactinoma / TSHoma
Non Functioning Adenoma
Post Surgery Complications: Hyponatremia / Diabetes Insipidus / Pituitary Hormone Replacement
Empty Sella Syndrome

Pituitary tumors are abnormal growths that develop in your pituitary gland. Some pituitary tumors result in too much of the hormones that regulate important functions of your body. Some pituitary tumors can cause your pituitary gland to produce lower levels of hormones. Dr Sukirti Misra is Doctor for Pituitary Diseases in Mulund
Most pituitary tumors are noncancerous (benign) growths (adenomas). Adenomas remain in your pituitary gland or surrounding tissues and don't spread to other parts of your body.
There are various options for treating pituitary tumors, including removing the tumor, controlling its growth and managing your hormone levels with medications. Your doctor may recommend observation — or a ''wait and see'' approach. Dr Sukirti Misra is Doctor for Pituitary Diseases in Mulund

Symptoms

Not all pituitary tumors cause symptoms. Sometimes they are identified incidentally on an imaging test such as an MRI or CT performed for some other reason. Pituitary tumors that make hormones (functioning) can cause a variety of signs and symptoms depending on the hormone they produce. The signs and symptoms of pituitary tumors that don't make hormones (nonfunctioning) are related to their growth and the pressure they put on other structures. Dr Sukirti Misra is Doctor for Pituitary Diseases in Mulund
Large pituitary tumors — those measuring about 1 centimeter (slightly less than a half-inch) or larger — are known as macroadenomas. Smaller tumors are called microadenomas. Because of the size of macroadenomas, they can put pressure on the normal pituitary gland and nearby structures. Dr Sukirti Misra is Doctor for Pituitary Diseases in Mulund

Signs and symptoms related to tumor pressure

• Headache
• Vision loss, particularly loss of peripheral vision

Symptoms related to hormone level changes

Deficiency

Large tumors could cause hormonal deficiencies. Signs and symptoms include:

• Nausea and vomiting
• Weakness
• Feeling cold
• Less frequent or no menstrual periods
• Sexual dysfunction
• Increased amount of urine
• Unintended weight loss or gain

Adrenocorticotropic hormone-secreting (ACTH) tumors : Cushing Disease

ACTH tumors produce the hormone adrenocorticotropin, which stimulates your adrenal glands to make the hormone cortisol. Cushing syndrome results from your adrenal glands producing too much cortisol. Possible signs and symptoms of Cushing syndrome include:

• Fat accumulation around your midsection and upper back
• Exaggerated facial roundness
• Thinning of the arms and legs with muscle weakness
• High blood pressure
• High blood sugar
• Bone weakening
• Bruising
• Stretch marks
• Anxiety, irritability or depression

Growth hormone-secreting tumors : Acromegaly

These tumors produce excess growth hormone (acromegaly), which can cause:

• Coarsened facial features
• Enlarged hands and feet
• Excess sweating
• High blood sugar
• Heart problems
• Joint pain
• Misaligned teeth

Prolactin-secreting tumors

Overproduction of prolactin from a pituitary tumor (prolactinoma) can cause a decrease in normal levels of sex hormones — estrogen in women and testosterone in men. Excessive prolactin in the blood affects men and women differently.

In women, prolactinoma might cause:

• Irregular menstrual periods
• Lack of menstrual periods
• Milky discharge from the breasts

In men, a prolactin-producing tumor may cause male hypogonadism. Signs and symptoms can include:

• Erectile dysfunction
• Lowered sperm count
• Loss of sex drive
• Breast growth

Thyroid-stimulating hormone-secreting tumors

When a pituitary tumor overproduces thyroid-stimulating hormone, your thyroid gland makes too much of the hormone thyroxine. This is a rare cause of hyperthyroidism or overactive thyroid disease. Hyperthyroidism can accelerate your body's metabolism, causing:

• Weight loss
• Rapid or irregular heartbeat
• Nervousness or irritability
• Frequent bowel movements
• Excessive sweating

Prolactinoma

A prolactinoma is a type of pituitary tumor usually benign (adenoma) that produces an excessive amount of the hormone prolactin. Prolactinomas are the most common type of hormonally-active pituitary tumor.

Prolactinoma symptoms in premenopausal women:

• Small increases in prolactin cause irregular menstrual periods or complete loss of menses. Because of this noticeable symptom, prolactinomas in premenopausal women are often diagnosed early, when the tumors are small in size.
• Evidence of milk production by the breasts (galactorrhea)
• Reduced sex drive

It is unusual for a prolactinoma to progress to a large size in premenopausal women. If it does grow in size, it may cause hypopituitarism, visual losses and headache.

Prolactinoma symptoms in men and postmenopausal women:

Men and postmenopausal females do not have menstrual periods, so the effects of elevated prolactin often go unnoticed. In men particularly, prolactinomas may remain undiagnosed for years.

Symptoms in men include:

• Decreased testosterone levels, leading to low libido (sexual interest)
• Rarely enlargement of the breast tissue (gynecomastia)
• Rarely, breast milk production

Prolactinomas in men are often very large, and may invade structures adjacent to the normal pituitary gland, causing compressive symptoms like headache or vision loss