Description & Objectives
This symposium is intended for endocrinologists, neurosurgeons, radiation oncologists, medical oncologists, primary-care physicians, ophthalmologists, advance practice clinicians and other sub-specialists in the treatment of neuroendocrine diseases in Washington, Oregon, Idaho, Montana, California and Alaska.
Healthcare providers today are faced with a rapidly growing population of patients with pituitary tumors and disorders. Each year, about 1 in 10,000 adults and children are diagnosed with a pituitary tumor, leading to various health complications. The resulting imbalance of hormones can cause endocrine diseases such as Cushing’s syndrome and hyperthyroidism. Clinicians may not be aware of all of the complex factors in the management of pituitary tumors and disorders. Specifically, practitioners may not be aware of predictors of treatment success and failures, the effects of pituitary damage either from a disorder, tumor or brain injury, and treatment outcomes.
Successful treatment requires complex strategies and it may be difficult for physicians to choose among the magnitude of options for diagnosis and treatment. Treatment options include surgery, radiation therapy, drug therapy, chemotherapy and growth hormones. There are many variables to consider including timeliness and urgency, complications and patient risk factors, and prognosis and quality of life after treatment. Physicians, advanced practice clinicians and allied health professionals may not be updated in all factors related to managing patients with pituitary tumors and disorders.
At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:
- Determine the effects of brain injury on pituitary function and describe the appropriate endocrine testing to assess for hypopituitarism in a patient with brain injury
- Evaluate the utility of biochemical testing for hypercortisolemia and growth hormone excess, perform clinical problem-solving to complex management of patients with Cushing's disease and acromegaly, analyze results from key clinical trials attempting to define standard-of-care treatments for patients with acromegaly and Cushing's disease and describe how this data might be applied to modify and improve existing treatment plans
- Review the anatomy of the nasal cavity and pituitary and discuss the advantages and disadvantages of microscopic and endoscopic surgery
- Describe the clinical, radiologic and pathological definition of an aggressive pituitary tumor and discuss management options for patients with aggressive pituitary tumors
- Recognize pituitary adenomas with clinically aggressive behaviors and discuss methods of evaluating the potential aggressive nature of pituitary adenomas
- Decide when to use which radiation modality (gamma knife, cyber knife or proton), review doses to control secreting and non-secreting tumors and discuss radiation side effects
- Outline the technique of petrosal sinus sampling, discuss the pitfalls of petrosal sinus sampling and review venous anatomy
- Describe how pituitary conditions affect headaches and discuss how to manage headaches in pituitary disease
- Review the anatomy of the visual and eye movement pathways affected by pituitary tumors, identify the vision disturbances experienced by patients with pituitary tumors and explain the utility of optical coherence tomography in management of pituitary patients
- Differentiate success rates for pituitary tumor surgery among different tumor subtypes, compare alternatives to surgical treatment and describe complications associated with pituitary surgery
- Assess post-op care complications, list long term post-op complications and describe setting expectations
- Discuss imaging features of the normal pituitary gland and relevant adjacent anatomy, review imaging of pituitary diseases and list the causes of neurological dysfunction caused by pituitary lesion
View Brochure (pdf)