The treatment of pituitary adenomas depends on the clinical findings at the time a neurosurgeon is asked to see the patient in consultation. Since there is no specific form of therapy which will benefit all patients, a symposium such as this tends to crystallize thinking with regard to the conditions present and the various procedures that may be of help. Some patients will require an emergency neurosurgical operation to preserve vision or life. The majority, however, will respond more favorably to x-ray therapy alone, surgical procedures alone, or surgical procedures followed by x-ray therapy. The ultimate goal in the planning of treatment of pituitary adenomas, therefore, is the selection of the best procedure that will guarantee preservation or improvement of vision and also maintain the patient at a useful and functional level for the longest period.
Many excellent reviews of large series of cases have been written in the past
BAKER GS. Treatment of Pituitary Adenomas. Arch Surg. 1960;81(5):842-846. doi:10.1001/archsurg.1960.01300050164029