Brain Tumour Types Info Sheet Pituitary Adenomas Overview: For additional Information Sheets or to learn more about other brain tumour topics, visit www.BrainTumour.ca Tumour Group: Non-Malignant Brain Tumours WHO Grade: Grade I or II Prevalence/Incidence: Brain Tumour Foundation of Canada Information Sheets are provided as an informational and educational tool and are not intended to replace the advice or instruction of a professional healthcare practitioner, or to substitute for medical care. We urge you to seek specific medical advice on individual matters of concern. Brain Tumour Foundation of Canada is generously supported by individuals, corporations and employee groups. It is through the tireless dedication of donors that help is available for anyone affected by a brain tumour, including patients, survivors and their loved ones. Pituitary adenomas are low-grade, slow-growing masses that represent about 10% of primary brain tumours, making them the third most common primary brain tumour in adults. Typical Age Range: They can occur at any age, but they are more common in older people. Women are more affected than men, particularly during childbearing years. Description of Tumour: The pituitary gland is a bean-sized organ located in the midline at the base of the brain, behind the bridge of the nose, in a bony pouch called the “stella turcica.” The pituitary itself is known as the “master gland” because it helps to control other glands and organs in the body. The pituitary gland is involved in the production of several essential hormones. Pituitary adenomas occur in the pituitary glad, which secretes several crucial hormones including corticotrophin, thyroid stimulating hormone, growth hormon, prolactin, gonadotropins and anti-diuretic hormone. Stimulation from the hypothalamus may contribute to the growth of a pituitary adenoma. While certain pituitary tumours secrete abnormally high amounts of one or more of these hormones and cause related symptoms, other are hormonally inactive and do not secrete hormones. Both types of tumours can grow and compress the surrounding tissue, such as the brain and optic nerves. Most pituitary adenomas grow in the front two-thirds of the pituitary gland. These tumours are classified as “secreting” and “non-secreting.” A secreting tumour produces excessive amounts of hormones. Most pituitary tumours fall into this category; they are further classified by the type(s) of hormones they produce. ... continued on Page 2 you are not alone you are not alone Additional support, information and education offered by Brain Tumour Foundation of Canada: Adult, Pediatric and Non-Malignant Brain Tumour Handbooks available in English and French. “A Friend in Hope” children’s storybook available in English and French. 20+ Adult Support Groups across Canada (in-person and virtual) Toll-free information and support line Symptoms: Common symptoms include, but are not necessarily limited to: • Abnormal growth of hands and feet • Abnormal hair growth pattern in women • Abnormal weight gain • Behavioural and cognitive changes • Cessation of menstrual periods (amenorrhea) • Depression • Impotence in men • Morning nausea or vomiting • Vision loss Treatment/Standard of Care: • For the great majority of patients with symptomatic endocrine-inactive adenomas surgery is the preferred therapy (trans-sphenoidal surgery is preferred to minimize the morbidty assoicated with an open craniotomy when possible) • For recurrent pituitary endocrine-inactive adenomas radiation may be used as either radiosurgery (single fraction) or fractionated daily radiotherapy (using stereotactic techniques), or when significant residual tumour is observed where critical structure are compromised and further surgery not indicated. • For hormone-secreting pituiary adenomas surgery may be curative (steroid producing adenomas), or endocrine therapy alone BrainWAVE Pediatric Support Program Treatment options depend on the following: Print BrainStorm Newsletter Email Newsletters: • E-BrainStorm • Peace of Mind • The type and size of the tumour • Whether the tumour is making hormones • Whether the tumour is causing problems with vision or other symptoms • Whether the tumour has spread into the brain around the pituitary gland or to other parts of the body • Whether the tumour has just been diagnosed or has recurred “Grey Matters” Blog Prognosis: Pituitary adenomas that are considered Grade I tend to have the most favourable survival rates compared to other higher grade brain tumours. For more details, please refer to braintumour.ca. All patient resources are available free-of-charge in Canada. Call 1-800265-5106 or visit www. BrainTumour.ca for additional details and information. 205 Horton St E Suite 203 London, Ontario N6B 1K7 519.642.7755 1 [800] 265.5106 F 519.642.7192 www.braintumour.ca T
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