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Incidental imaging finding
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== Brain == [[Autopsy]] series have suggested that [[pituitary gland|pituitary]] incidentalomas may be quite common. It has been estimated that perhaps 10% of the adult population may harbor such [[endocrinology|endocrinologically]] inert lesions.<ref name="pmid8154641">{{cite journal|year=1994|title=Pituitary magnetic resonance imaging in normal human volunteers: occult adenomas in the general population|journal=Ann. Intern. Med.|volume=120|issue=10|pages=817β20|doi=10.7326/0003-4819-120-10-199405150-00001|pmid=8154641|vauthors=Hall WA, Luciano MG, Doppman JL, Patronas NJ, Oldfield EH|s2cid=23833253}}</ref> Most of these lesions, especially those which are small, will not grow. However, some form of long-term surveillance has been recommended based on the size and presentation of the lesion.<ref name="pmid9429857">{{cite journal|author=Molitch ME|year=1997|title=Pituitary incidentalomas|journal=Endocrinol. Metab. Clin. North Am.|volume=26|issue=4|pages=725β40|doi=10.1016/S0889-8529(05)70279-6|pmid=9429857}}</ref> With pituitary adenomas larger than 1 cm, a baseline pituitary hormonal function test should be done, including measurements of serum levels of [[Thyroid-stimulating hormone|TSH]], [[prolactin]], [[IGF-1]] (as a test of [[growth hormone]] activity), adrenal function (i.e. 24 hour urine cortisol, dexamethasone suppression test), [[testosterone]] in men, and [[estradiol]] in [[amenorrhea|amenorrheic]] women.<ref>{{cite journal|author=Snyder|year=2021|title=Causes, presentation, and evaluation of sellar masses|url=https://www.uptodate.com/contents/causes-presentation-and-evaluation-of-sellar-masses|url-access=subscription}}</ref>
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