Neurological Surgery, P.C. Publishes Newsletter On Pituitary Tumors by onlineprnews


									Neurological Surgery, P.C. Publishes Newsletter On Pituitary Tumors

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Neurological Surgery, P.C. (NSPC) has published an in-depth newsletter addressing the diagnosis and
treatment of tumors of the pituitary gland.

Online PR News – 03-October-2013 – The eight-page publication was written by neurosurgeon Michael H.
Brisman, M.D., F.A.C.S., who specializes in treating these and other tumors of the brain, as well as in treating
trigeminal neuralgia, a type of facial pain. Dr. Brisman has successfully treated hundreds of patients with
Pituitary Tumors.

Dr. Brisman is CEO of Neurological Surgery, P.C.; Chief of the Division of Neurosurgery and Co-Director of
the Neuroscience Institute at Winthrop-University Hospital; as well as Co-Medical Director of Long Island
Gamma Knife and Chief of Surgical Neuro-Oncology at South Nassau Communities Hospital.

“Pituitary tumors often present with symptoms, such as frontal headaches and visual problems, that are also
common in other conditions,” said Dr. Brisman. “This means it is of the utmost importance that each case be
carefully assessed. We want to educate the medical community about how to recognize and evaluate these
tumors, and to let patients know that effective treatments are often available.”

Tumors of the pituitary gland, which are considered a type of brain tumor due to their location, are almost
always benign – a type of tumor know as an “adenoma.” Small adenomas are very common, and have been
found incidentally after death in as many as 20-25% of people. Pituitary tumors that cause symptoms are
much less common, and represent about 15% of clinically symptomatic primary (non-metastatic) brain
 “Even when benign, pituitary tumors can cause a range of problems, such as the aforementioned symptoms,
as well as hormonal changes,” said Dr. Brisman.

The pituitary gland is located in the front of the skull base, and is attached to the brain’s hypothalamus.
Because the pituitary is considered a “master” gland, it directs the activity of a number of other glands and
organs throughout the body. The hypothalamus acts on the pituitary gland, and the pituitary gland releases
hormones that act on distant glands and organs, causing the glands to release hormones. Through these
processes, the pituitary regulates various functions including metabolism, growth and fertility.

Some (but not all) pituitary tumors secrete hormones, and these secretions can lead to such conditions as the
growth disorders acromegaly and gigantism, as well as Cushing’s disease and reproductive disorders.
Testing for pituitary tumors is often done when a patient appears to have hormonal problems or the
aforementioned frontal headaches or vision problems.

Surgery is usually the first-line treatment for large adenomas that do not secrete hormones, as well as for
those causing acromegaly and Cushing’s disease. Minimally invasive techniques are generally used –
utilizing either a surgical microscope or endoscope to guide the procedure – unless the tumor is very large.
Radiation is usually the second-line treatment for these tumors, if some of the tumor remains after surgery or
the patient is not a good candidate for surgery.

“I usually perform this radiation treatment with stereotactic radiosurgery,” said Dr. Brisman. In stereotactic
radiosurgery, a highly focused radiation beam is delivered precisely to the tumor.

Pituitary tumors that secrete hormones are generally treated with medications – either hormone replacement
or hormone suppression therapies, depending on the hormonal effects of the patient’s pituitary tumor.

“Many benign pituitary tumors are also not actively treated, but observed over an extended period, to ensure
that they do not grow and cause other problems,” said Dr. Brisman.

Treatment of malignant tumors, which are rare, may involve surgery and radiation therapy, and sometimes
chemotherapy as well.

To receive a free copy of this newsletter, send an email to

Media Information
Dennis Tartaglia
100 Merrick Rd
Rockville Centre
United States


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