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NeuroLogic - Pituitary Pathology, Subtle to Obvious
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 , 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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