Non-functioning pituitary adenoma without visual field defects - observation
( Microadenoma – MRI: 1, 2, 5 year
Macroadenoma – MRI + visual field: ½, 1, 2, 5 year)
If stable – end of the observation
In any other case – radical treatment
Transsphenoidal surgery is indicated in most patients (except patients with prolac- tinomas, for which medical management can be tried rst).
Radiation therapy and medical therapy