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Should a 5mm "cystic lesion" inside a persons sella be removed?

By Anonymous July 3, 2011 - 5:13pm
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I have already endured a transphenoidal resection of a pituitary macroadenoma in 2004. Upon recent MRI's I am now diagnosed with a "cystic lesion". Should it be removed?

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I did find a book that you may be interested in (it is $25 online), but your local library may be able to order it for you (or, if you live near a university or medical university, this may already be available): https://springerlink3.metapress.com/content/g37hgp77r221kw2u/resource-secured/?target=fulltext.pdf&sid=zfyted55i2jqb1a0oem2nf45&sh=www.springerlink.com.

The book is: Diagnosis and Management of Pituitary Disorders
Contemporary Endocrinology, 2008, 445-466, DOI: 10.1007/978-1-59745-264-9_23, with a chapter titled, "Cystic Lesions of the Sella".

July 3, 2011 - 8:34pm

I am sorry you are having to consider treatment options for another condition, but it is great that you are searching for as much information as you can.

In my research, your treatment options are dependent upon the exact location within the sella region of your cystic lesion, how much space it is occupying (thus, what functions may it be interfering with), as well as your current symptoms (or, projected symptoms if left untreated). I did not find information on cystic lesions in this region being left untreated...did your doctor provide this as an option to you?

What information and options did your doctor discuss, and what is recommended for your specific and unique situation?

July 3, 2011 - 8:33pm
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