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Pituitary Macroadenoma

Last Updated: February 18, 2020

Figure 1: Harvey Cushing abandoned transsphenoidal surgery in approximately 1929 as his transcranial techniques progressed and were deemed safe. The transcranial route allowed him to more thoroughly decompress the chiasm.  In these photos, Cushing demonstrated his classic “frontal” incision for resection of pituitary adenomas.

Endoscopic Transsphenoidal Removal of a Giant Pituitary Adenoma

Diagnosis, Indications for Surgery and Preoperative Considerations