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Pituitary Surgery

Specialized Care for Pituitary Tumors & Disorders

The pituitary gland is small, but its location at the base of the skull, and its role in regulating hormones throughout the body, means that even a benign tumor can affect vision, energy, and quality of life. Learning you have a pituitary tumor or pituitary adenoma can be overwhelming, and the right surgical expertise makes a real difference in your outcome.

 

At New Jersey Brain and Spine, our fellowship-trained skull base neurosurgeons have extensive experience treating tumors of the pituitary gland and surrounding skull base. Whenever possible, we use minimally invasive transsphenoidal endoscopic techniques that reach the tumor through the natural corridor of the nose, without external incisions. When appropriate, our surgeons may utilize advanced technologies such as intraoperative MRI, neuronavigation, and fluorescence-guided surgery to help maximize tumor removal while preserving surrounding critical structures. Our service coordinates comprehensive care of all neuro-endocrine disorders in concert with a team of dedicated endocrinologists, neuroradiologists, neuropathologists and skull base otolaryngologists to offer consensus based and personalized treatments plans. Surgical approaches are tailored to the patient’s needs but often require endoscopic endonasal transsphenoidal approaches that allow for access to the pituitary through the natural corridor of the nose and paranasal sinuses without facial incisions.

 

Pituitary care is a team effort. We collaborate closely with endocrinologists, neuro-ophthalmologists, ENT specialists, and radiation oncologists to diagnose your condition precisely and tailor treatment to you. As with every condition we treat, we start with the most conservative option appropriate for your situation and reserve surgery for when it is truly the best path forward.

OUR DOCTORS

Pituitary Surgery Specialists

George J. Kaptain

Dr. Kaptain is an Associate Professor of Neurosurgery at the Hackensack Meridian School of Medicine and serves as the Surgical Director of Neuro-Oncology, Skull-Base Surgery, and Radiosurgery at the John Theurer Cancer Center of Hackensack Meridian Health. He has served as site director for the neurosurgical residency and directs a...

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Kangmin Daniel Lee

Dr. Lee is dedicated to helping advance neurosurgical knowledge in order to improve the care of patients with brain and spinal conditions. He served as an assistant professor at Hofstra University School of Medicine, and he is an avid writer. His articles have appeared in scientific journals and he has...

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Giorgio J. Rotoli

Dr. Rotoli is dedicated to advancing neurosurgical knowledge among his colleagues and physicians in training. He teaches neurosurgical residents and medical students at Saint Barnabas Medical Center. His publications include multiple articles in peer-reviewed journals and he has presented his work at the American Association of Neurosurgeons annual meeting.

His philosophy...

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HEAR FROM THE EXPERTS

Pituitary Surgery Videos

CONDITIONS + TREATMENTS

Pituitary Conditions & Treatments

Our team diagnoses and treats the full range of pituitary and sellar-region conditions, with a focus on preserving hormone function and vision.

Common Conditions

  • Pituitary adenomas (pituitary tumors)
  • Functioning (hormone-secreting) tumors, including prolactinoma, Cushing’s disease, and acromegaly
  • Non-functioning pituitary adenomas
  • Tumors compressing the optic chiasm (vision changes)
  • Craniopharyngioma and Rathke’s cleft cyst
  • Recurrent or residual pituitary tumors requiring revision surgery

Common Treatments

Contact Our Care Team

Fast access to fellowship-trained pituitary and skull base neurosurgeons for expert evaluation, second opinions, and personalized treatment of pituitary tumors and other sellar-region conditions.

  • Common Conditions – Pituitary tumors and pituitary adenomas, functioning and non-functioning pituitary tumors, craniopharyngiomas, Rathke’s cleft cysts, tumors affecting vision, and recurrent or residual pituitary tumors.
  • Common Treatments – Transsphenoidal endoscopic pituitary surgery, endoscopic endonasal skull-base surgery, neuro-navigation–guided tumor resection, and stereotactic radiosurgery (Gamma Knife).
  • Common Symptoms of Pituitary Tumors
    Depending on the type and size of the tumor, symptoms may include:

    • Vision changes or loss of peripheral vision
    • Persistent headaches
    • Hormonal changes
    • Elevated prolactin levels
    • Irregular menstrual cycles
    • Unexplained weight changes
    • Fatigue
    • Changes in growth hormone or cortisol levels

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