Pituitary Tumor

 

 

2021-06-25


Don't Panic!
Symptoms are only indicators of possibilities.
Diagnosis exchanges appearance for likelihood.
Address the Reality; not the Illusion.





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Beginning : Pituitary Tumor Causes. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/pituitary-tumor-causes
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 01/17/2011

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Most pituitary tumors are benign (non-cancerous) ...

... some pituitary tumors may be hereditary.
A small number of pituitary tumors are caused by a rare genetic disorder called multiple endocrine neoplasia type 1 (MEN 1). This endocrine disorder can lead to over-activity or enlargement of 3 different endocrine-related glands, including the pituitary gland.

If you have a pituitary tumor, your doctor may do a simple blood test to rule out MEN 1. ...




Detection: Symptoms of a Pituitary Tumor. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/pituitary-tumor-symptoms
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 01/17/2011

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Pituitary tumors ... have several symptoms.
These symptoms usually develop gradually but can eventually lead to other endocrine disorders, such as Cushing's disease and acromegaly.

Some of the symptoms of pituitary tumors are subtle, such as fatigue and weakness, so many people overlook their symptoms and may attribute them to something else (eg, needing more sleep).

But sometimes when you have a pituitary tumor, your body produces excessive amounts of certain hormones (which hormones it overproduces depends on where the tumor is located).

Most pituitary tumors are small.
Those are called microadenomas.
But larger tumors, called macroadenomas, can put pressure on your pituitary gland and surrounding tissues and cause changes in your vision, such as double vision and loss of peripheral vision.

Other possible symptoms related to the pressure caused by a pituitary tumor:

  • Cold intolerance
  • Constipation
  • Dry skin
  • Headache
  • Loss of hair on your body
  • Low blood pressure
  • Missed periods
  • Nausea
  • Sexual dysfunction (Loss of Libido)
  • Unexplained weight loss or gain
  • Vomiting

Not everyone with a pituitary tumor will experience all of these symptoms.
Symptoms vary based on what type of tumor it is (there are 4 main types of pituitary tumors), as well as its size and shape.

Endocrine disorders related to excessive hormone production by the pituitary tumor:

  1. Acromegaly:
    This is a growth disorder caused by an excess of growth hormone.
    Enlarged hands and feet and misaligned teeth are a few main symptoms of acromegaly.

  2. Cushing's disease:
    This disorder is caused by your adrenal glands producing too much cortisol in response to a pituitary hormone made by the pituitary adenoma. Symptoms can include fat accumulation around your mid-section and a hump on your upper back.

  3. Hyperprolactinemia:
    This is an endocrine disorder caused by excessive production of prolactin.
    Hyperprolactinemia symptoms include irregular menstrual cycles (in women) and infertility (in men).

  4. Hyperthyroidism:
    This is a condition that's caused by your thyroid gland producing too much thyroid hormone in response to a hormone made by the pituitary tumor. Hyperthyroidism symptoms include rapid or irregular heartbeat and weight loss.

Although symptoms of pituitary tumors typically develop gradually, in rare cases, symptoms can occur suddenly and can be severe. ...




Derivation: Pituitary Risk Factors. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/pituitary-tumor-risk-factors
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 01/24/2011

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There are very few known risk factors for pituitary tumors.
However, the main risk factors are age and a family history of certain genetic conditions.

Although they can occur at any age, pituitary tumors are more common as you age.
... the older you get, the higher your risk of developing a pituitary tumor. When pituitary tumors run in families, there are several genes that your doctor may want to test to see if that is what's causing the tumor.

    Having one of the genetic conditions listed below increases your risk of developing a pituitary tumor:

    • Multiple endocrine neoplasia type 1 (MEN 1):
      A small number of pituitary tumors are caused by this rare genetic disorder in the RET gene.
      MEN 1 can lead to over-activity or enlargement of the pituitary gland.

    • Carney complex:
      This disorder can cause several types of tumors, including tumors in the pituitary gland.
      It's caused by a defect in the PRKAR1-alpha gene.

    • Abnormal changes in a gene called aryl hydrocarbon receptor interacting protein (AIP) is another risk factor doctors look for. These changes can be inherited from one of your parents, but they also can develop throughout the course of your life.


To diagnosis a pituitary tumor, your doctor will first ask you about your family history, and he or she may do a simple blood test to rule out these genetic conditions or arrange for genetic counseling. ...




Discovery : Diagnosing Pituitary Tumors. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/diagnosing-pituitary-tumors
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 06/01/2012

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About 10% of people will develop a pituitary tumor at some point in their lives,
but some pituitary tumors do not cause any symptoms -- and many are never even diagnosed.
If your doctor suspects a pituitary tumor, he or she will run a few key tests.

However, before performing any tests on you, your doctor will mostly likely do a physical exam and obtain your complete health history and a detailed family health history.

Some pituitary tumors are linked to certain genetic conditions, such as multiple endocrine neoplasia type 1 (MEN 1), which can be passed from generation to generation. Your doctor will want to know if other people in your family have or had MEN 1—or if you have it.

But just because you have MEN 1 or a family history of pituitary tumors and/or MEN 1 doesn't necessarily mean you have a pituitary tumor.

    ... some simple tests:

    • Blood and urine tests:
      These tests can determine whether you have an excessive amount—or a deficiency—of certain hormones.
      Your doctor will look for abnormal cortisol and thyroid hormone levels, for example.

    • Imaging tests:
      A computerized tomography (CT) scan or magnetic resonance imaging (MRI) scan of your brain can show the location, size, and shape of a pituitary tumor.

    • Vision tests:
      These tests can help determine if a pituitary tumor is impacting your vision, especially your peripheral vision.

Your doctor can usually diagnose a pituitary tumor with one or all of these tests, but that's not always the case. If you need additional testing, your doctor may refer you to an endocrinologist.

Being diagnosed with a pituitary tumor doesn't mean that you have cancer.
In fact, most pituitary tumors are benign (non-cancerous), which means that they won't spread.
However, it's important to diagnose pituitary tumors early on to prevent possible complications of a pituitary tumor.




Difficulties: When Pituitary tumors go untreated. INDEX
https://www.endocrineweb.com/conditions/pituitary-tumors/pituitary-tumor-complications
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 01/17/2011

Although most pituitary tumors are benign (non-cancerous), some pituitary tumors do cause complications. You may be able to prevent these complications if you recognize the symptoms of a pituitary tumor and get treatment for it early on.

One of the most serious pituitary tumor complications is blindness.
This can happen if a tumor puts too much pressure on your optic nerves.
These nerves are very close to your pituitary gland.
Not everyone who has a pituitary tumor will have vision problems, however.
Tumor growth and vision loss usually happen very gradually.

    Other potential pituitary tumor complications include:

    • diabetes insipidus:
      This type of diabetes -- not to be confused with type 1 or type 2 diabetes, which causes an increase in your blood glucose level -- is mostly associated with larger pituitary tumors (called macroadenomas). Diabetes insipidus happens when your pituitary gland and the gland found just above it, the hypothalamus, don't produce enough vasopressin, a hormone that's in charge of maintaining the body's water balance. The most common symptom is constant thirst, which can lead to frequent bathroom stops from drinking so many fluids. This is because without vasopressin, the kidneys aren't able to hold onto water as they should and you get dehydrated, triggering you to be thirsty. This condition can also be a complication of some pituitary tumor treatments.

    • permanent hormone deficiency:
      It's possible for a pituitary tumor to cause a permanent hormone imbalance.
      If this happens, you may need to take medication to replace the depleted hormone.
      For example, if your pituitary tumor causes a thyroid-stimulating hormone (TSH) deficiency, you may need to take thyroid hormone replacement to get your thyroid levels back to normal.

    • pituitary apoplexy:
      This is a rare but serious complication that causes sudden bleeding into the pituitary tumor.
      Pituitary apoplexy typically needs immediate treatment ... usually corticosteroids or surgery.
      Symptoms include a severe headache and vision problems, such as double vision or vision loss. You can also have symptoms of hypopituitarism (when your pituitary gland releases low amounts of certain hormones). Symptoms of hypopituitarism can include excessive thirst (from diabetes insipidus), lightheadedness (from adrenal insufficiency), and cold intolerance (from hypothyroidism).

... if you have been diagnosed with a pituitary tumor and you notice sudden, unusual changes in your health, you should ask your doctor if they could be related to your pituitary tumor. Getting proper treatment for your pituitary tumor can prevent complications from getting worse.




Description: Pituitary Tumor Treatment Overview. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/pituitary-tumor-treatment-overview
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 01/17/2011

Treatment for pituitary tumors usually depends on what type of tumor it is, including its size and shape. Generally, pituitary tumor treatment involves a combination of treatments to control the tumor or remove it: medications, radiation therapy, and surgery.

The main goals of all of these treatments are the same:
to return your hormone levels to normal if possible and to treat any symptoms caused by the size of the tumor (which means that you may need treatment to shrink your tumor).

To treat a pituitary tumor, medications are sometimes used to help block too much of a certain hormone being produced. What medications you take depends on what hormone is being overproduced. Additionally, there are some medications that may shrink pituitary tumors. Radiation therapy may also be used to treat your tumor.
Using high-energy x-rays or gamma rays to shrink your tumor, radiation therapy can be used after surgery or alone. It's especially useful if a tumor persists or returns even after surgery. For more specific information, read the pituitary tumor radiation therapy article.

Surgery may be used to remove some or all of the tumor.
Surgery may be necessary if the tumor is pressing on your optic nerves, which can potentially lead to blindness.

But treating a pituitary tumor isn't the same for everyone.
In fact, there's no single set treatment pattern for treating these tumors.
For example, you may only need to take medications to normalize your hormone levels and shrink your tumor, or you may need to use all 3 treatments. It really depends on what type of tumor you have.

Additionally, if one type of treatment doesn't work to control your tumor, you may need to try another treatment. For instance, medications may be used if surgery is unsuccessful in normalizing your hormone production. And if your tumor grows back after surgery, you may need radiation therapy.

Another thing to keep in mind is that treating a pituitary tumor isn't always appropriate, especially if you're older or are in poor health. However, many people who have pituitary tumors (no matter what their age or how healthy they are) can function normally without their tumor causing any problems or ever needing treatment for it.

It's also important to note that you may need to take hormone replacement medication -- even after your pituitary tumor has been successfully treated—because of decreased hormone production, either directly caused by a pituitary tumor or the removal of a pituitary tumor.




Description: Surgery for Pituitary Tumors. INDEX
https://www.endocrineweb.com/conditions/
pituitary-tumors/surgery-pituitary-tumors
Written by Julie M. Gentile
Reviewed by Daniel J. Toft MD, PhD
Updated on: 04/10/2018

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Pituitary tumor surgery involves removing all or most of the tumor that's growing on your pituitary gland.
But what type of surgery you have depends on the type of pituitary tumor you have, as well as the tumor's size and shape.

    Surgery is typically needed for 2 reasons:
  • If the tumor is pressing on your optic nerves, which can potentially lead to blindness
  • If the tumor is producing too much of a certain hormone (eg, growth hormone), which can cause an endocrine disorder (eg, acromegaly)

    There are 2 main types of surgery for pituitary tumors:

    • Endoscopic transnasal transsphenoidal approach:
      Although "endoscopic transnasal transsphenoidal" is hard to pronounce, it's easy to understand.
      With this surgery, your doctor uses special tools to remove your tumor through your nose (transnasal) and sinuses (transsphenoidal). One of the tools your doctor will use is called an endoscope, which is a tiny video camera that helps guide your surgeon during your surgery.

      Many patients like this option because there is no visible incision, which means no scar.
      Generally no other part of your brain is touched. However, extremely large pituitary tumors may be too hard to remove with this type of surgery, especially if they've spread to healthy tissue.

    • Transcranial approach:
      This surgery is a type of craniotomy (brain surgery).
      Cranium means your skull, so craniotomy is brain surgery that involves reaching your tumor through an incision on the side of your cranium or forehead.

      Your surgeon will remove your pituitary tumor through a small incision in the upper part of your skull—that's why it's called transcranial (which means through your skull). With this approach, it's much easier to reach larger tumors.


Surgery to remove a pituitary tumor typically takes about 3 hours,
and most patients leave the hospital within a couple of days.

For the first few weeks after surgery, you may feel tired, have a headache, or slight nasal congestion, but these symptoms should gradually improve. And within 2 weeks, you should be back to your normal daily activities, including work.

Removing a pituitary tumor may cause abnormal hormone levels.
That's because your pituitary gland may produce lower levels of some hormones (eg, thyroid-stimulating hormone) once the tumor is gone. To get your hormone levels back to normal—and to keep them there—you'll most likely need to take hormone replacement.

Pituitary tumor surgery is considered low-risk for young, healthy people.
However if you're older or have other medical problems, your surgical risks increase, and these risks need to be balanced against the expected benefits of surgery. ...

Risks.
Complications from surgery can include bleeding, cerebrospinal fluid leaks NIH external link, meningitis NIH external link, sodium (salt) and water imbalance, and low levels of pituitary hormones.




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Disease: Acromegaly. INDEX
https://www.niddk.nih.gov/health-information/
endocrine-diseases/acromegaly
National Institute of Diabetes & Digestive and Kidney Diseases (NIDDK),
part of the (USA) National Institutes of Health.
Last Reviewed January 2020

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Acromegaly is a disorder that occurs when your body makes too much growth hormone (GH).
Produced mainly in the pituitary gland, GH controls the physical growth of the body.
In adults, too much of this hormone causes bones, cartilage, body organs, and other tissues to increase in size. Common changes in appearance include enlarged or swollen nose, ears, hands, and feet.

Acromegaly is most often diagnosed in middle-aged adults, but symptoms can appear at any age. In children, too much growth hormone causes a condition called gigantism NIH external link rather than acromegaly. Gigantism occurs when excess GH begins before the end of puberty, when children’s growth plates fuse or close. Having too much GH before the growth plates close causes children to grow tall in height.

... complications of acromegaly?
Acromegaly is treatable in most people.
But because symptoms come on slowly, health problems can develop before the disorder is diagnosed and treated.

    Health problems can include
  • type 2 diabetes
  • high blood pressure NIH external link
  • heart disease
  • sleep apnea
  • arthritis NIH external link
  • carpal tunnel syndrome
  • other conditions affecting the bones and muscles

People with acromegaly also have an increased risk for colon polyps, which may develop into colon cancer if not removed.

Some people with acromegaly may have a genetic condition that can lead tumors to develop in different parts of their bodies. Increased GH can cause these other tumors to grow.

Untreated, acromegaly can lead to serious health problems and early death.
But when successfully treated, symptoms generally improve and may go away altogether.
Life expectancy may return to normal

... Symptoms of acromegaly.
Symptoms of acromegaly can vary from person to person. Common changes in physical appearance include

  • hands and feet become larger and swollen
  • lips, nose, and tongue become larger
  • bone changes: brow and lower jaw jut out, bridge of the nose gets bigger, and space between teeth increases
  • skin becomes thick, coarse, and oily
  • sweating and skin odor increase
  • voice becomes deeper
  • skin tags ... may get larger or darker

      Other common symptoms include
    • headaches
    • joint aches
    • vision problems

Acromegaly develops when the pituitary gland releases too much GH into the body over a long period of time. When GH enters the blood, this signals the liver to produce another hormone, called insulin-like growth factor I (IGF-I). IGF-I is the hormone that actually causes bones and body tissue to grow. High levels of this hormone also cause changes in how the body processes blood glucose (blood sugar) and lipids (fats), which can lead to type 2 diabetes, high blood pressure, and heart disease.

In more than 9 out of 10 cases, acromegaly is caused by a tumor in the pituitary gland, called a pituitary adenoma. More rarely, the cause may be a tumor in another part of the body.

Pituitary tumors
Pituitary tumors are almost always benign, or noncancerous.
Some tumors grow slowly, and symptoms of too much GH may not be noticed for many years.
Other tumors may grow rapidly.

Depending on its size and location, the tumor may press against other pituitary tissue.
Possible effects include

  • changes in menstruation NIH external link in women
  • erectile dysfunction in men
  • changes in thyroid hormone, which can affect weight, energy levels, hair, and skin
  • decreases in cortisol, which can cause weight loss, dizziness, tiredness, low blood pressure, and nausea

A tumor that grows large in size may also press against nearby parts of the brain.
This can lead to other symptoms, such as headaches and vision problems.

Some pituitary tumors that create growth hormone can also increase the levels of other hormones in the body. For example, the tumor may produce prolactin, the hormone that prompts the mammary glands NIH external link to produce milk. This can lead to breast milk discharge in women.




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Product: Essential oils that Stimulate the Pituitary. INDEX
http://joshealthcorner.blogspot.com/2011/05/
essential-oil-profile-clary-sage-salvia.html

LINK 2: http://joshealthcorner.blogspot.com/2011/11/
frankincense-boswellia-carteri.html

CONTACT: http://joshealthcorner.blogspot.com/p/quality-matters.html

These oils stimulate the release of Endorphins.

    • Frankincense
    • Ylang ylang
    • Patchouli
    • Clary Sage
    • Jasmine

Clary Sage Profile:
Clary Sage, Salvia Sclarea, is part of the Lamiaceae family.
It is also referred to as Clary Wort, Common clary, Clear eye, and just Clary.
It is a one meter high biennial herb with small purple or blue flowers and hairy leaves.
The fresh flowering tops are steam distilled to make the essential oil.
It grows mostly in Russia, Morocco, and France.
It was once used to clear the eyes and the word clary originates from Latin and means clear.
In England Salvia sclarea was substituted for hops to produce beer.

The chemical constituents of Salvia sclarea are:

    • Monoterpenes limonene, myrcene, ocimene, terpinolene, a-pinene, and b-pinene.
    • The monoterpenol linalool and nerol. They are antiseptic, antispasmodic, sedative, antibacterial, and anticonvulsant.
    • The esters linalyl acetate, geranyl acetate and neryl acetate.
    • The diterpernol sclareol.

    USES:
    • act on the pituitary,
    • has an affinity with the thalamus,
    • supports hormones,
    • nervousness,
    • depression,
    • fear and paranoia,
    • revitalizing,
    • stimulating,
    • regenerative,
    • antidiabetic,
    • is estrogen like,
    • promotes estrogen secretion,
    • during menopause,
    • helpful in labor,
    • pre-menstrual syndrome and for painful cramps
    • in the back due to its emmenagogue and antispasmodic actions
    • may reduce high cholesterol,
    • circulatory problems,
    • throat infections,
    • insect bites,
    • insomnia,
    • reduce the production of sebum -- greasy hair,
    • dandruff,
    • dry skin

Frankincense Profile:
It slows down breathing and produces feelings of calm.
It has historically been used for respiratory congestion.
It also has astringent properties, which may also help balance oily skin conditions.

Frankincense has cytophylactic properties.
Cytophylactic means that the oils stimulate the generation of new cells, which will aid in preserving the health of the skin. These oils are also used for treatments of burns. Frankincense has traditionally been used for wrinkles and scars,

    USES:
    • acts on the pituitary,
    • has an affinity with the thalamus,
    • stimulates the hypothalamus,
    • stimulates the pineal gland,
    • burns,
    • scars,
    • wrinkles,
    • skin regeneration,
    • respiratory congestion,
    • tonic for the uterus,
    • allergies,
    • bronchitis,
    • insect and snake bites,
    • cancer,
    • respiratory infections,
    • diphteria,
    • headaches,
    • hemorrhaging,
    • herpes,
    • high blood pressure,
    • stress,
    • tonsilitis,
    • warts,
    • typhoid.

The hypothalamus is considered the master gland and it controls the release of thyroid hormones as well as growth hormone.




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