wait and watch

wait and watch
by twinmom786, Jul 21, 2011 09:19PM
i was diagnosed in 2010 with a macroadenoma that was pushing slightly against my optic chiasm .my bloodwork should a slight increase in levels of prolactin and insulin like growth hormone .my neuro opthamologist says there is a slight but definite bitemporal defect .apparently the size of the macroadenoma is close to 2.0x1.8x1.4 cmsomewhat lower in signal intensity on the left possibly partially cystic with more solid enhancement on the right(possibly represent more normal gland)the sphenoid sinus is clear paranasalsinuses enhance normally pre-chiasmic optic nerves appear normalno evidence of hydrocephalus.(copied off my mri report)my doc wants to do the wait and watch i did my bloodwork again few weeks ago and all bloodwork came normal did all hormone bloodwork.doc wants me to do mri again in dec and says if it has not grown the do a mri every year and also regular blood work.does this sound reasonable?

[Daniel M Prevedello, MD]

Dear twinmom786,

Well, I can review your case free of charge if you want. Of course we do observe many of these tumors, but the fact you has visual changes and tumor touching the chiasm gives me a little anxiety. Are you treating with medication? Are you taking bromocriptine or dostinex?
How high was/has been your prolactin?

I will be glad to review your case and advise.