Longterm Management

This is directed at assessing vision, controlling residual effects of the tumor on endocrine function, and assessing the need for radiation therapy:

Vision is usually improved in about three-quarters of patients [5]. The degree of improvement is related to the severity of the visual loss and, to a lesser extent, the length of the history (as this is notoriously unreliable).

Endocrine function is maintained in the majority (80%) of patients with normal function at the time of surgery, whereas, if this is lost altogether and the patient has panhypopituitarism at the time of surgery, function is not regained. Because of the ease of imaging, most clinics decide on the need for radiotherapy based on the postoperative MRI approximately 2 months following surgery, when the effects of the surgery in the fossa and sphenoid have lessened. Significant residual tumor usually needs radiotherapy, whereas an empty fossa can be watched. Likewise, most clinicians prefer to leave young patients for as long as possible as radiotherapy leads to pituitary failure in 12-15 years.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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