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Suggest Treatment For Small Cystic Lesion In Posterior Pituitary Gland

Posted on Wed, 25 Mar 2015

Question: Diagnosis end with a small cystic lieson in the posterior pituitary via an m.r.i. What is the standard treatment and prognosis

Answered by Dr. Dr.Albana Sejdini (3 hours later)

Brief Answer:
full mri report and clinical symptoms are needed

Detailed Answer:
Hi,

Can you please provide the full mri report together with clinical complains of the patient?

After evaluating such data ca decide on prognosis and treatment.

Thank you!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Albana Sejdini (14 hours later)

Can't send m.r.i can you just briefly describe pronosis

Answered by Dr. Dr.Albana Sejdini (5 hours later)

Brief Answer:
good prognosis if non neoplastic cystic lesion

Detailed Answer:
Hi back,

Ok then. Usually, such small cystic lesion on the posterior pituitary are accidental findings. The are usually non symptomatic.

They might be non tumoral like Rathke cleft cyst and tumoral like adenoma.

The prognosis depends on
- the size,
- compression of nearby organs especially when it comes to optic chiasm and
- the nature of cyst (whether non/ neoplastic)

No treatment is required when small in size and asymptomatic. Watchful waiting strategy is proposed.

Surgery is the most common treatment.

Hope it was of help!
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar