Tag Archives: central precocious puberty

Mr. B.’s good news

Our visit with the pediatric neurosurgeon yesterday left us all feeling better than we have since Mr. B.’s central precocious puberty problem became apparent in July. The lesion/tumor at the bottom of his pituitary gland under his brain turns out to be an apparently normal cyst with a ninety-five percent chance of being benign. As for the five percent uncertainty, we are to watch for symptoms such as severe headaches, vision problems and loss of coordination and get a second MRI in two years. Meanwhile, it’s back to the endocrinologist to begin the hormone treatments to halt the early puberty until the normal time for its arrival, to ensure that Mr. B. develops to his normal height, whatever that may be.

MORE:  By unhappy coincidence the Seablogger also has a pituitary gland growth, though his is a tumor that is "very large but benign" and pressing on his optic nerve. We wish him luck.

More on Mr. B’s MRI

The results are in and we have an early October appointment with a pediatric neurosurgeon to hear what he wants to do. Mr. B., who is nine, has central precocious puberty, which is not uncommon in girls but rare in boys. Blood tests and ultrasound ruled out problems with the other pubertal hormone producers in his body. Leaving the pituitary gland at the base of his brain to be examined. Hence the MRI.

Indeed, it found a small lesion/tumor at the bottom of the gland apparently forcing the pubertal hormones early. His prediatric endocrinologist doesn’t think the neurosurgeon will want to remove it, but merely do another MRI in six months to check whether it’s grown. Monthly hormone shots for Mr. B. in the meantime (and for a few more years) of a type to reverse the condition until he’s the appropriate age, about thirteen. We hope the PE is right and not merely avoiding being the bearer of bad news. Doctors, being human, do that sometimes. We’ll know in October.