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Do you consent patients for diabetes insipidus following SRS or fractionated radiation for pituitary tumors?
My understanding is that this risk is exceedingly rare even with treatment in and around the stalk and hypothalamus.
Answer from: Radiation Oncologist at Academic Institution
This, and more broadly hypopituitarism of any type, is an important consideration and likely under-addressed topic in consent.Untreated hypopituitarism in adult life is associated with reduced all-cause life expectancy, and by one study 2x mortality rate compared with age/sex matched controls. [1]Th...
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Answer from: Radiation Oncologist at Academic Institution
No. I do not consent for DI. I do consent for pituitary dysfunction/hypopituitarism.This exceedingly rare "side effect" has been reported from radiation. There are reasons for the quotes. If radiation is deemed the source, it should be by absolute exclusion of all other causes and it can still be id...