Pituitary Tumor Treatment

Dr. Gregory Casey is highly trained in Pituitary Tumor Surgery and has worked for over a decade with neurosurgeon Dr. Eric Eskioglu out of Physicians Hospital in Naples helping improve lives of patients from all over the country.


Treatment for pituitary tumors depends on the tumor type and size, its proximity to the eye nerves, and the patient’s age and overall health. Most pituitary tumors are noncancerous. Nonfunctioning pituitary tumors do not produce hormones; functioning pituitary tumors cause overproduction of hormones. Observation, surgery and medications are the main treatments for pituitary tumors. Surgical & technological advances have allowed surgeons now to perform an endoscopic through-the-nose surgical technique that is highly successful when the tumor is small. Smaller nonfunctioning tumors are carefully monitored and observed over time and do not require surgical treatment.

Dr. Casey uses the sub labial approach and utilizes the state-of-art Brain Lab navigation technology. The sub labial approach for pituitary surgery goes through the upper lip to open a path between the hard palate in the roof of the mouth and the nose. Although there are several approaches to the sphenoid sinus, the sub labial transseptal and transnasal transseptal approaches are presently the most widely accepted standard techniques. Although the transnasal approach has several advantages in comparison with the sub labial approach, it is difficult to accomplish in the small nostril without an alotomy incision or external rhinoplasty incision, which may lead to noticeable scarring or nasal deformity. Therefore, the sub labial approach (which is less invasive) still remains the optimal method, especially for patients with small nostrils.