I was diagnosed with a pituitary adenoma in 1999. Since that time I have just had yearly MRI's and bloodwork to check the status. The Dr. has 'offerred' to do surgery each time, but said if I wasn't having any symptoms, it didn't seem necessary. They found it initially because I had gotten Bell's Palsy a 2nd time, and had numbness and tingling in my arms and legs, as well as weakness. They were looking for MS lesions, but found the pituitary mass. In the past couple months, my T4, TSH, and LH have all dropped, and my endocrynologyst put me on synthroid and reccommended surgery to remove the mass. (2cm) I have an appointment to see this surgeon on 2/4/04, but until then I have been searching the web for information. My biggest question right now is why would anyone have the transphenoidal through the upper lip/septum rather than the endonasal where no incisions are made? Is it because the endonasal approach hasn't been learned by the Doc's yet? Also, from what I've read, it sounds like re-occurrance of the tumor is likely. I wondered if there were some percentages documented on what the re-occurrance rate might be. Thanks in advance for any input you might have. Laura | 