Pituitary tumors are usually suspected based on endocrine changes but are confirmed with imaging studies. A CT scan can reveal a pituitary tumor and may be especially sensitive to hemorrhage. MRI scanning may be more sensitive and better define the relationship of the tumor to the optic nerves and surrounding structures. Blood studies to check pituitary function are essential. Other lesions around the sella and pituitary may produce similar symptoms and may be confused with a pituitary tumor. These include meningiomas, craniopharyngiomas, germ cell tumors, and aneurysms.
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