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How Is A Cyst On The Pituitary Gland Treated And Can It Come Back?

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James Kent Profile
James Kent answered
Treatment for a cyst on the pituitary gland depends on what type it is. Diagnosis is made by the symptoms displayed, blood tests and x-rays. For some people, medication alone may be treatment enough, but for others there may be a need for surgery, or for radiation therapy. In some instances, a combination of treatments is necessary. The decision on how to treat is taken after assessing the type, location, symptoms and size.

If surgery is necessary, the cyst will be removed by a neurosurgeon, even though the pituitary gland is not actually part of the brain, so tumours or cysts on the pituitary gland are definitely not brain tumours.

Even after surgery to remove a pituitary cyst or tumour, repeated checks have to be made to see if there has been any return. It is impossible to predict if this will happen to any particular individual so all patients who have been treated need to have a regular check up to ensure the cyst hasn’t returned. This can happen even 20 years after the original treatment.

Checks can be made by testing blood and urine, but also through having MRI scans. If a patient is receiving hormone replacement therapy, they will need to be regularly monitored to make sure that the treatment is continuing to be effective.

Many patients with pituitary cysts or tumours are concerned that they may have to have radiation therapy. This is not usually the first line of treatment because it does not produce an immediate effect to lower excessive hormone production or make it any smaller. Pituitary radiation can take several years for it to be effective, and so is used as an additional therapy rather than an exclusive one.
Anonymous Profile
Anonymous answered
Yes it can come and go. Surgery is not the only alternative, antibiotics can shrink the cyst even eliminating it.
Anonymous Profile
Anonymous answered
I had a cyst on my pituitary gland, ended up with thyroid cancer and had my thyroid removed, now the cyst on my pituitary gland is gone, so I guess it went away on its own.

The pituitary gland is often called the master gland because it controls several other hormone glands in your body, including the thyroid and adrenals, the ovaries and testicles. 
Check out this website www.pituitary.org.uk
ray of light Profile
ray of light answered
Cyst can develop in any endocrine gland including pituitary gland. These cysts are benign and have no symptoms. If the cysts are large then headache and loss of vision can occur. These cysts can be removed by surgery. No medicine is available to treat them.
thanked the writer.
Anonymous
Anonymous commented
The last part of the original question wasn't answered. My son is 16 years old with 5+ months of constant severe headaches, vertigo, syncope, and nausea. Mri showed pituitary cyst/tumor, left sphenoid sinus cyst/tumor/polyp, and maxillary cyst. Peds neurosurgery and neurology both say pituitary cyst is congenital Rathke's Cleft Cyst. ENT said sphenoid sinus growth must come out. During surgery 4 weeks later the growth was huge and was now in both sides of the sphenoid sinus'. Two week post-op checkup showed everything good, clean. But still running low-grade fever. Three week post-op he saw our PCP and the growth was back and now growing out of the hole used for the surgery and down into his nose. ENT put him on steroids to shrink it and it shrunk it back up into the sinus, but it was still there. Cultures showed no infections and fever & headaches went away (first time in 6+ months). One month later MRI showed maxillary cyst stable, pituitary cyst had changed but not grown, and original sphenoid cyst gone but a new one now grown. Five days later headaches came back, not as bad as before but still constant. Five more days later ENT can't see cyst, it has disappeared. We were told that cysts can grow back months or years later but within one week! How can a cyst grow back within one week, three weeks after surgically removed? How can a cyst grow exponentially then shrink back, remain in place for 2 months, then within 10 days disappear? Should we be more concerned now about the supposed Rathke's Cleft Cyst? Could the pituitary cyst be more related to the sphenoid cyst? Everyone is stumped.
Anonymous
Anonymous commented
There is medicine available to treat them, i know because i have a small cyst on my pituitary gland and is currently on medz to shrink and eliminate it.

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