Second Opinion on Pituitary diseases

Expert opinions and online advice on pituitary diseases delivered via your computer or mobile device. Second opinion is available wherever there is an internet. All you need is a PC or a smartphone.

Pituitary gland location and function

Hypophysis (or the pituitary gland) has the size of a cherry pit and weighs less than one gram. This endocrine gland lies in a depression on the superior surface of the sphenoid bone, right below the brain. Above the pituitary gland is the hypothalamus, an area containing cells that regulate the body's neuroendocrine activity.

In general, this part of the brain plays a crucial role in hormone-dependent processes and metabolism. In particular, it is here that the substances controlling sexual function and thyroid activity are produced.

Pituitary gland disorders

Diseases of the hypophysis are relatively rare. They can be associated with an abnormal production of hormones or with an increase in the size of the gland due to an inflammation or a tumor. In this case, there is a compression of nearby tissues, which leads to grave consequences; for example, impaired vision.

The most common issue (about 80 percent of cases) is pituitary adenoma. Although these masses are benign, they result in an uncontrolled secretion of hormones (e.g. - prolactin, which causes menstrual disorders in women and loss of libido and erectile dysfunction in men).

Extremely rarely, inflammation of the pituitary gland (hypophysitis) can develop, causing headaches and visual disturbances. If the pituitary gland produces too little antidiuretic hormone (ADH), urine excretion is increased; i.e.,the body discharges too much fluid, which causes a constant feeling of thirst. An excessive production of growth hormones caused by a pituitary disorder leads to diseases such as gigantism in children and acromegaly in adults.

What is the service about?

A second opinion on pituitary diseases is a service which makes it possible to get a remote consultation of a qualified specialist, based on available medical summary or study results.

It might be helpful:

• to confirm the existing diagnosis;

• to make sure that the recommended treatment, e.g. a surgery, is correct;

• to obtain information on advanced methods of pituitary diseases diagnostics and treatment;

• to get expert commentary on previously performed exam results;

• to make the right choice if there are two or more possible therapeutic options.

 

What will the client get?

Diagnostic conclusion, observation and treatment proposals, based on the provided information. In case of the provided initial data incompleteness, will be given recommendations for additional examinations.

What data should be provided to get a second opinion?

Written reports:

  • Medical report (desirable)
  • Examinations results, including provocative testing (desirable)
  • List of medications, along with details of dosage and frequency of use (required)
  • Laboratory test results (desirable)

Radiology data:

  • Brain MRI (required)
  • Brain CT (desirable)

What are the second opinion formats and terms?

Written second opinion:

Making a report based on the data provided, the consulting specialist summary including a diagnostic report and recommendations for further diagnostic, treatment and observation tactics. Report size: up to 1 page. 

Video consultation:

All services of written second opinion. Additionally:, a 10-minute video consultation with a doctor, including a visual patient examination, clarification of symptoms, radiology images consulting, explanation of the proposed treatment tactics, answering patient's questions.

Phone consultation:

All services of written second opinion. Additionally: a 10-minute telephone consultation with a doctor, including clarification of symptoms, explanation of the proposed treatment tactics, answering patient's questions.

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Specialists of the section Pituitary diseases

To get a consultation, you do not need to pre-register at an appointment or stand in queues-the doctor will respond within a few minutes.

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