# #513  Pituitary Incidentalomas

Page: https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220/513-pituitary-incidentalomas
Text version: https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220/513-pituitary-incidentalomas.md
Podcast: [The Curbsiders Internal Medicine Podcast](https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220)
Published: 2026-02-02T08:00:00+00:00
Episode link: https://audioboom.com/posts/8855584
Audio file: https://pdst.fm/e/arttrk.com/p/ABMA5/clrtpod.com/m/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8855584.mp3?modified=1780964314&sid=5034728&source=rss
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JSON: https://stenobird.com/v1/public/podcasts/the-curbsiders-internal-medicine-podcast-743220/episodes/513-pituitary-incidentalomas
Duration seconds: 4658

## Resource

Dr. Fleseriu schools us on managing the unexpected Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University) Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid fire questions/Picks of the Week Case 1 Defining Pituitary Incidentalomas What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess) Decided when to reimage patients and long term follow up of microadenomas Case 2 Hormonal workup for pituitary macroadenoma Deciding when surgery should be considered Discussing the role of visual field testing Case 3 Defining empty sella syndrome Discussing hormonal assessment of empty sella syndrome Treatment options for hyperprolactinemia caused by empty sella syndrome Outro Credits Producer, writer, show notes, and CME: Mobeen Ahmad MD Infographic and cover art: Kate Grant MBChb, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Maria Fleseriu Disclosures Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Continuing Education Company Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more. Sponsor: Mint Mobile N…

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