When our team of physicians recommends radiation, our patients have access to every option available under one roof, including photon therapy and proton therapy. The first image displays the areas of the brain receiving radiation therapy with traditional photon therapy. Unlike photon radiotherapy, in which the brain outside the target still receives moderate radiation doses, proton therapy allows for more focused radiation to the region of the tumor or tumor bed. For patients with pituitary adenomas, this helps to spare the key areas of the brain responsible for neurocognition. The third image shows the clear difference in photon therapy and proton therapy. The areas in blue and turquoise are exposed to radiation with photon therapy, but spared with proton therapy.
Appel RH, Mehta MP, Tseng YD, Vargas C, Larson G, Hartsell W, Tsai H, Sinesi C, Laramore G, Rossi C, Rosen L, Badiyan S, Kotecha R. Proton Beam Radiotherapy for Patients with Pituitary Adenomas is Associated with Low Acute and Late Treatment-Related Toxicities. Oral presentation at 58th Annual Conference of the Particle Therapy Co-operative Group (PTCOG). Manchester, UK. June 10-15, 2019.
"They are the best doctors on earth. I feel like a whole new person. I basically got my life back and I’m super, super happy."
When you come to Miami Neuroscience Institute for pituitary tumor treatment, you can expect:
- A team dedicated to treating your pituitary tumor strategically and safely, without rushing into an unnecessary surgery.
- Seamless collaboration between neurosurgeons, ENT surgeons, neuro-radiologists, neuro-endocrinologists and radiation oncologists, all with the goal of providing more personalized and effective treatment.
- Endoscopic surgery that is less invasive and more effective than traditional pituitary tumor surgery.
- Intraoperative MRI imaging performed under general anesthesia to ensure that the surgeons have removed as much of the tumor as possible before the patient leaves the operating room.
What are the benefits of a pituitary team?
Our pituitary tumor team consists of about a dozen specialists. We meet once a month to discuss new patient cases and follow-up on existing cases. The entire team attends each meeting, and every specialist provides their treatment recommendation.
While our team members typically agree on which treatment will work best, there are times where a member may request additional testing. Once the team has met, the treating neurologist will share the team’s treatment recommendations or additional testing suggestions with the patient. This approach allows the patient to make an informed decision about what type of treatment they would like to receive.
Patients typically go home the day after surgery and return for a follow-up visit in six to eight weeks. If a patient requires radiology therapy, that will begin four to six after surgery is complete and the wound has fully healed.
The risks associated with pituitary surgery are very low. They include the standard risks associated with anesthesia or infection at the surgical site – the nasal cavity. About 6-8% of surgical patients will experience a cerebral spinal fluid leak, and about 3% will experience a carotid artery injury.