Pituitary Pathology, Subtle to Obvious
Date: March 1, 2010
Diagnosis, then, can depend on being adept at interpreting motley signs—often subtle ones that cross multiple systems. A rise in body fat, a drop in muscle mass and raised total cholesterol, for example, might not be picked up as a pituitary matter. But as a specialist, Salvatori is alert to the ways a wash of growth hormone signals a somatotrophic adenoma in an adult patient.
The Pituitary Center maintains a staff of 16 clinicians who excel in delivering highly specialized, patientspecific care for pituitary pathology. Patients are triaged by one of two endocrinologists and nurse coordinator Rita Pach, who arranges single-day visits. Pach also sets up as-needed appointments with the center’s neurosurgeons, neuroophthalmologists, otolaryngologist or specialized radiation oncologist.
The clinicians are quick to work with a patient’s referring physicians—from gynecologists to dentists—who have found the suspected “incidentalomas,” as Salvatori calls them, or confirmed the tumors that then send patients to Hopkins.
The center also has a reputation for its extended follow-up care.
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