What Does A Small Lesion In The Pituitary Gland Indicate?
In my Annual examination, my physician ruled out Sinus as a root cause and referred me to a neurologist that suggested a MRI scan. Unfortunately the results came back with a scary lesion.
I am attaching the MRI report for a second opinion and appreciate a Neurologist's take on it. I am obviously scared and worried about my family.
The lesion is not to be worried about.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and read your MRI brain report.
First of all, I would like to reassure you that there is no need to worry about the findings of the MRI brain.
The lesion is not a cancer and can be well treated.
There is a small lesion in the pituitary gland and the radiologist has raised view possibilities about its diagnosis.
For confirmation, you should undergo a dedicated MRI for pituitary gland (as suggested by the radiologist), as well as hormonal profile (blood tests) should be done.
In any case, you would not require surgery and the treatment would be with medications.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
I have a few follow-up questions (sorry if too many) and appreciate your help:
1. Do I need to worry about the other two observations in the report? (Sinus and Temporal horn tips near Maximum size)
2. Are my headaches related to the lesion?
3. I started to feel nausea sometimes, after searching online about tumors. Will this lesion make me nausea-prone?
4. Can these kind of lesions be presented by-birth? Any way to know how long it took to reach 5mm size?
5. Does this effect life-expectancy?
6. Any precautions to ensure it doesn't grow?
7. Finally, Is this curable and will it ever go away?
Thanks, XXXXXXX
There is no need to worry.
Detailed Answer:
Thank you for getting back. My replies to your follow-up queries are below:
1. There is no need to worry about the other two observations, as they are within normal limits.
2. No, your headaches are unrelated.
3. No, the size is too small (5 mm) to produce mass effect in the brain and nausea.
4. No, these lesions do not present at birth. There is no method to find out since how long it has been there, as it may not produce symptoms for long.
5. No, life span is not affected.
6. Medical treatment would be needed.
7. This is curable and would go away with treatment.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
You really helped ease my fears, I hope it remains benign and doesn't lead to anything serious.
I am sure it would remain benign.
Detailed Answer:
Thank you for getting back.
I am glad that my reply has helped you. I would be pleased to be of help in the future too!
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)