Management of hormone-secreting pituitary microadenomas.

Experience with 22 patients with pituitary microadenoma is discussed. The diagnosis was based on examination of the contour of the normally sized sella turcica by multidirectional thin-layer tomography, and measurement of the pituitary hormone reserve capacity. Of the patients 13 had a microprolactinoma and 9 a microsomatotropinoma; 13 were subjected to trans-sphenoidal microadenomectomy and 14 received drug treatment. The problems of diagnostics and the choice of therapy are discussed.