What factors do you consider for surgical timing for management of a large pituitary mass with suprasellar extension?

There are several factors to consider for management of a large pituitary mass with suprasellar extension. The number one consideration is the presence of visual symptoms, their severity, and their duration. Tumors that are slow-growing may cause fairly substantial optic nerve/chiasm compression, but because they grew slowly, the impact on vision can vary substantially. In someone with rapidly progressing visual compromise, relatively rapid surgical intervention is usually indicated, typically w...