Question
Last October, a pituitary tumor was discovered due to vision loss and headaches, and surgery was performed at Tian Tan that month. After the surgery, some tumor tissue remained, and a second surgery was carried out in April 2014, where most of the tumor was removed, but it was not possible to completely remove it due to its surrounding the carotid artery and sinus. Three months after the operation, gamma knife radiotherapy was performed, but the child experienced severe headaches post-treatment, with mannitol and painkillers ineffective. Recent MRI shows an irregular shape in the sellar area, nodular abnormal signals around the right carotid artery, left deviation of the pituitary stalk, depression under the sella, and no obvious abnormalities in the optic chiasm and signals. Currently, the child is unable to manage themselves due to headaches and hopes to receive professional opinions and treatment recommendations.
Answer
The case information you provided is insufficient for a comprehensive diagnosis; I need more detailed information to accurately assess the condition. Based on the current information, this is a complex case of a growth hormone pituitary tumor that has undergone two surgeries and gamma knife treatment but has not yet been effectively controlled. I recommend that you come to our hospital for a consultation. I may suggest using medication as an adjunctive treatment, with the primary goal of controlling growth hormone levels within the normal range.