Transsphenoidal Surgery for Pituitary Tumors and Other Sellar Masses

Vet Clin North Am Small Anim Pract. 2018 Jan;48(1):129-151. doi: 10.1016/j.cvsm.2017.08.006. Epub 2017 Oct 20.

Abstract

Transsphenoidal surgery is an option for dogs and cats with functional and nonfunctional pituitary masses or other sellar and parasellar masses. An adrenocorticotropic hormone-secreting tumor causing Cushing disease is the most common clinically relevant pituitary tumor in dogs, and the most common pituitary tumor seen in cats is a growth hormone-secreting tumor causing acromegaly. Transsphenoidal surgery can lead to rapid resolution of clinical signs and provide a cure for these patients. Because of the risks associated with this surgery, it should only be attempted by a cohesive pituitary surgery group with a sophisticated medical and surgical team.

Keywords: Acromegaly; Cushing disease; Hypersomatotropism; Hypophysectomy; Pituitary tumor; Pituitary-dependent hyperadrenocorticism; Sellar masses; Transsphenoidal surgery.

Publication types

  • Review

MeSH terms

  • Adenoma / diagnosis
  • Adenoma / surgery
  • Adenoma / veterinary*
  • Animals
  • Cat Diseases / diagnosis
  • Cat Diseases / surgery*
  • Cats
  • Dog Diseases / diagnosis
  • Dog Diseases / surgery*
  • Dogs
  • Hypophysectomy / methods
  • Hypophysectomy / veterinary*
  • Meningioma / diagnosis
  • Meningioma / surgery
  • Meningioma / veterinary*
  • Pituitary Neoplasms / diagnosis
  • Pituitary Neoplasms / surgery
  • Pituitary Neoplasms / veterinary*
  • Postoperative Complications / veterinary
  • Prognosis