Non-Functional Pituitary Microadenoma (< 1cm)

Discharge Criteria

1. Pituitary hormone profile done at baseline and:
   1. No hormonal hypersecretion
   2. No hypopituitarism
2. Pituitary adenoma is not compressing or abutting the optic chiasm
3. Lesion stable in size on follow-up MRI at 1 and 2 years
4. No immediate pregnancy plans 

Resources:

• Letter to primary care provider
• Letter to patient

Topic Expert Review: Jeannette Goguen, Eleni Dimaraki, Rowena Rideout (Endocrinologists)  

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

Reference: 

1. Freda et al, Pituitary Incidentaloma: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 4, 1 April 2011, Pages 894–904, https://doi.org/10.1210/jc.2010-1048