Endoscopic Endonasal Transsphenoid Approach for Resection of Suprasellar Hemorrhagic Mass after Gamma Knife Radiosurgery: Case Report

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Valerio J, Alvarez A,Coy S, Quillo J, Wolf A. 



Pituitary adenomas are common benign tumors that are rarely malignant and may or may not produce hormones. Current treatment options include medical therapy (if hormone producing), microscopic or endoscopic surgical resection, gamma knife radiosurgery, radiation therapy, and observation. We describe the recurrence of a non-functioning pituitary adenoma after Gamma Knife Radiotherapy treatment, which followed an Endoscopic Endonasal approach for resection. The endonasal approach is a minimally invasive surgical treatment for pituitary adenoma that can be both safe and effective, and could be considered the first-choice therapy as it gives a chance for complete resection.

Keyword: Pituitary adenomas, radiosurgery, endoscopic endonasal

 1Department of Neurological Surgery, Miami Neuroscience Center at Larkin, 6129 SW 70th St, South Miami, FL 33143, Tel (786) 871-6800