Johns Hopkins
Pituitary Gland Tumor /
Pituitary Adenoma Radiosurgery

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Date of Diagnosis

What is the DATE of the diagnosis of the pituitary adenoma?

• Method of Diagnosis

  How was the first pituitary adenoma diagnosed?

  Craniotomy

  Endocrine studies (blood tests)

  Only radiographically

  
  

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• Location

  What was the location of the pituitary adenoma?

  Sella Turcica (Normal Location)

  Extension beyond sella (suprasellar or into cavernous sinus(es))

  
  

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• Size: What is the size of the pituitary adenoma (largest dimension)?

  Less than one centimeter

  Greater than one, but less than two centimeters

  Greater than two, but less than three centimeters

  Greater than three centimeters

  
  

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• Endocrine Studies

  Does the patient have above-normal secretion of any hormone(s) (Prolactin, ACTH, Growth Hormone, Other) by the pituitary pituitary adenoma as documented by laboratory studies?

  No

  Yes

  
  

  (Please list hormone(s):

  ACTH

  Prolactin

  Growth Hormone

  Other:

  
  

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• Syndromes

  Does the patient have either of the following syndromes?
  Cushings Disease

  Acromegaly
  Hyperprolactinemia
  
  

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• First (Prior) Treatment (if applicable): How was the first pituitary adenoma treated?
  

  Observation Only

  Subtotal Resection

  Total Resection

  Surgery (subtotal or total) and radiation

  
  

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• Date First Treatment

  What was the DATE of the treatment for the FIRST pituitary adenoma?

• What is the DATE of the DIAGNOSIS of the CURRENT pituitary adenoma (if current is different from above)? This pituitary adenoma is for consideration for the CURRENT radiosurgery or surgical resection.
  
  
  

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• Growth of Tumor

  Has the pituitary adenoma GROWN in size since a prior treatment or initial diagnosis? No

  Yes
  
  

• Prior to Radiosurgery, if given, how is the CURRENT pituitary adenoma (or group of pituitary adenomas) surgically treated?
  

  Subtotal Resection

  Total Resection

  No Surgery
  

• Please enter the histology:

  Benign

  Malignant

  Atypical

  Other (not listed above):

  
  

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