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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pituitary adenoma

I have three medical conditions at the moment. First is I was diagnosed with ovarian cancer. Second, i have a pituitary adenoma (tumor) and lastly one that has no name as of yet. My main concern for right now is the last one. Per a doctor at Jackson Memorial this is a rare condition that only about 500 people in the WORLD have. They are not sure what causes it or what the name is. However, the condition causes me to faint at least 4-6 times a day, EVERYDAY! When I faint, my heart stops. Usually for a second or two at the most. It makes it very difficult for me to walk at times, and to go anywhere such as school or work.  It has started to affect my motor skills by numbing my hands and legs. I become very disoriented often. I recognize people but have no idea where I am or how I got there. I have fainted twice while driving because there was no warning, no symptom or sign making me feel as if i were going to faint. I do not feel the fainting episode coming. Every specialist I have seen agrees, "I am in a life or death situation". I may need surgery apart from the treatment. I was told if I need the surgery it would probably not one, but two surgeries. One for a heart monitor and second a brain surgery. There are only three places who know how to identify this condition for what it really is and have treatment for it. Mayo clinic in Jacksonville, Mayo clinic in Rochester, or Vanderbilt University hospital in Tennessee. I am not lucky enough to have insurance so this is going to be extremely pricey. I appreciate all of the help I receive. I’m going to Jacksonville, for it is the closest to home, and i am seeking help but I’m not sure what to expect. Being that I have to pay for consultations, tests and if there’s a surgery, half of the surgery upfront,
Mon, 8 Jun 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

I hope that you have been cured of the ovarian cancer. Right now the existing problems affecting you involve the pituitary and the heart.

Pituitary as you might be aware is the master gland in the body. It regulates the functioning of other glands. A pituitary adenoma is a condition where there is a small or large tumor in the pituitary gland. This can be microadenoma if it measures less than or up to 10 mm or a macroadenoma if larger than 10 mm. The pituitary adenoma might also be functional or non functional. If you have a functional pituitary adenoma or if it is large in size and is causing symptoms like blurring of vision or headache then you require a surgery. In present days the surgery for a pituitary adenoma is done through the nose and sphenoid bone and is successful.

Regarding the other rare condition you have written about, it appears that your might be a conduction problem in the heart and this can lead to heart block which is manifested as the heart stopping for a second occasionally. It is important to do electrophysiological studies on your heart and treat the condition with a pace maker if required. Please do not worry.
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