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Figure 3: Pre-operative and post-operative contrast imaging in patients with pituitary macroadenomas treated with extended endoscopic endonasal approach. A large dumbbell shaped non-secreting tumor in a 54-year old woman (case 1) who presented with amenorrhea, galactorrhea, and rapid vision loss (a and b - total removal); A giant growth hormone-secreting adenoma in a 28-year old woman (case 6) causing acromegaly, amenorrhea and galactorrhea, and visual impairment (c and d - total removal); A purely suprasellar residual tumor in a 48-year old female (case 10) with persistent headache and diminished vision (e and f - total removal)

Figure 3: Pre-operative and post-operative contrast imaging in patients with pituitary macroadenomas treated with extended endoscopic endonasal approach. A large dumbbell shaped non-secreting tumor in a 54-year old woman (case 1) who presented with amenorrhea, galactorrhea, and rapid vision loss (a and b - total removal); A giant growth hormone-secreting adenoma in a 28-year old woman (case 6) causing acromegaly, amenorrhea and galactorrhea, and visual impairment (c and d - total removal); A purely suprasellar residual tumor in a 48-year old female (case 10) with persistent headache and diminished vision (e and f - total removal)