Q:

A young lady presents with gradually worsening headaches, visual disturbance, and lack of energy. MRI shows 15mm tumor in the pituitary fossa. What is the treatment of choice?

waelhammad
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2022-10-31
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A young lady presents with gradually worsening headaches, visual disturbance, and lack of energy. MRI shows 15mm tumor in the pituitary fossa. What is the treatment of choice?

  1. Radiotherapy
  2. Octreotide
  3. Reassurance and f/u after 6m
  4. Surgery
  5. Chemotherapy
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waelhammad
2022-10-31
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The key is D. Surgery. [Hormonically active tumour, tumour causing pressure symptoms (like

headache, visual disturbance) and large size of tumour are indications for surgical removal].

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