Pituitary & hypothalamus

Pituitary Society Delphi consensus on the role of radiotherapy for pituitary adenomas

PituitaryPublished Delphi consensus statement

Methodological detailsmodified two-round Delphi panel, international
  • Modified two-round Delphi panel
  • International

Recommendations

As issued by the authors

  1. Radiotherapy indication and timing should be assessed by expert multidisciplinary tumor boards, including a radiation oncologist

  2. Technique determined according to patient and adenoma characteristics

  3. In functioning adenomas, control hormonal secretion while waiting for maximal radiotherapy efficacy

  4. Long-term follow-up >10 years is required to assess delayed efficacy, recurrence and side effects; relatively low medium-term risk with modern techniques

Original publication

Pituitary Society Delphi consensus on the role of radiotherapy for pituitary adenomas. Pituitary. Published 23 September 2026. doi:10.1007/s11102-026-01759-6

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