In general microadenomas dont cause any major problem and we just watch them as long as they are not functional. What that means is that we do surgery for resection of them when they produce hormones like steroids, growth hormone or prolactin.
I can review your imaging free of charge if you want.
How do you determine whether a pituitary microadenoma is secreting ACTH?
I have a similar clival lesion and low cortisol below your levels. what is a microadenoma? thanks very much!
do you also have central sleep apnea and stop breathing at night and cannot get restful sleep?
If a pituitary tumor isn't producing excess hormones and isn't impinging on other arreas of the brain, what point is there in doing surgery?None, probably. However, if, instead of producing excess hormones, the pituitary is producing less than normal levels of hormones, (partial or complete hypopituitarism), the target hormones (e.g cortisol, testosterone, estrogen, progesterone) can be "replaced", as well as growth hormone, and, I suppose ,if necessary, AVP (a posterior pituitary hormone). You may find your answers in www .endotest.org. Hormonal imbalance can make someone feel awful....potentially, Addison's disease can still kill if left untreated. An endocrinologist generally addresses such hormone problems, not a surgeon.
Even if the Pituitary "number" is in range (I'm not sure what that means), if the target organ numbers aren't, you can be sick. It's a feedback process.(e.g HPA= hypothalamus, pituitary, adrenal).
A microadenoma is a tumor smaller than 1 cm.