#513  Pituitary Incidentalomas
02 February 2026

#513 Pituitary Incidentalomas

The Curbsiders Internal Medicine Podcast

About

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

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Show Segments


    Intro
    Rapid fire questions/Picks of the Week
    Case 1
    Defining Pituitary Incidentalomas
    What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
    Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
    Decided when to reimage patients and long term follow up of microadenomas
    Case 2
    Hormonal workup for pituitary macroadenoma
    Deciding when surgery should be considered
    Discussing the role of visual field testing
    Case 3
    Defining empty sella syndrome
    Discussing hormonal assessment of empty sella syndrome
    Treatment options for hyperprolactinemia caused by empty sella syndrome
    Outro


Credits


    Producer, writer, show notes, and CME: Mobeen Ahmad MD
    Infographic and cover art: Kate Grant MBChb, MRCGP
    Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    Reviewer: Emi Okamoto MD
    Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    Technical Production: PodPaste
    Guest: Dr. Maria Fleseriu


Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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