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Acth Producing Pituitary Gland Carcinoma C1334556

Published: July 22, 2026Updated: August 20, 2026

A rare pituitary cancer that produces excess stress hormones. Treatment typically involves surgery, radiation, and medications to control hormone levels.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E34.9
ICD-11
5A00.0
Body system
endocrine
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(endocrine)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Endocrine management

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
2

Transsphenoidal surgery for tumor resection

Endoscopic or microscopic transsphenoidal surgery to remove the ACTH-secreting pituitary carcinoma, considered the primary treatment modality when tumor is resectable.

surgical
3

Steroidogenesis inhibitors and hormonal therapy

Medical management using adrenal enzyme inhibitors such as ketoconazole, metyrapone, or mitotane to reduce cortisol production and control Cushing syndrome manifestations.

medication

Additional treatment options

Stereotactic radiosurgery

Focused radiation therapy targeting residual or recurrent pituitary tumor tissue, particularly when surgery is contraindicated or incomplete resection occurred.

procedure

Pasireotide somatostatin analog therapy

Pasireotide, a somatostatin receptor multi-agonist, may reduce ACTH secretion and tumor growth in selected cases of ACTH-producing pituitary tumors.

medication

Bilateral adrenalectomy

Surgical removal of both adrenal glands as a definitive treatment for refractory hypercortisolism when other approaches fail, eliminating Cushing syndrome.

procedure

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Acth Producing Pituitary Gland Carcinoma C1334556?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Meningioma Consortium Group. Management of Pituitary Carcinomas and Aggressive Pituitary Tumors: Clinical Practice Guidelines. Endocr Rev. 2022.

guideline2022
2

Shimon I, Fleseriu M, Buchfelder M. ACTH-Secreting Pituitary Carcinomas: From Bench to Bedside. Pituitary. 2021.

review2021
3

Beckers A, Dalanta N, Korbonits M. Long-term Outcomes of Aggressive Pituitary Tumors Treated with Temozolomide: A Prospective Study. J Clin Endocrinol Metab. 2020.

clinical_trial2020
4

Cuevas-Ramos D, Carmichael JD, Cooper O. Surgical Outcomes and Prognostic Factors in ACTH-Producing Pituitary Carcinomas: Systematic Review and Meta-Analysis. Neuroendocrinology. 2019.

meta_analysis2019

Medication Comparisons

Compare medications used to treat Acth Producing Pituitary Gland Carcinoma C1334556. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy