Neurosurgery, radiation and pharmacological approach are the treatment modalities for pituitary adenomas. Dopamine agonists are the treatment of choice in prolactinomas.
Neurosurgery is the first choice for acromegaly, Cushing s syndrome and TSH adenomas. Dopamine and somatostatin analogues are mostly used before operation, when surgery fails, until effect of radiation therapy and to reduce symptoms of disease.
A blocator of growth hormone is also used in acromegaly. The blocators of steroidogenesis in adrena ls are also used in ACTH producing adenomas.