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Transsphenoidal surgery for pituitary adenomas and other sellar masses

Author
Brooke Swearingen, MD
Section Editor
Peter J Snyder, MD
Deputy Editor
Kathryn A Martin, MD

INTRODUCTION

Transsphenoidal surgery is the mainstay of treatment for most kinds of pituitary adenomas and other sellar masses. This topic review covers the techniques, results, and complications of transsphenoidal surgery of pituitary adenomas and other sellar masses. The endocrine evaluation of these disorders, as well as options for medical therapy of prolactinomas and acromegaly, are reviewed elsewhere. (See "Causes, presentation, and evaluation of sellar masses" and "Incidentally discovered sellar masses (pituitary incidentalomas)" and "Management of hyperprolactinemia" and "Treatment of acromegaly".)

SURGICAL TECHNIQUES

Transsphenoidal surgery is relatively noninvasive, as it utilizes the nasal passages and sinus anatomy to reach the sella. Successful resection requires that the surgeon:

Navigate to the sella

Visualize the tumor through a relatively narrow corridor

Remove the tumor as completely as possible

                    

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Literature review current through: Nov 2016. | This topic last updated: Mon Jun 29 00:00:00 GMT+00:00 2015.
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