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[|Human|] my brother has a recurrent pitutary tumour which has now protruded to teh right eye orbit and teh lower portion of the eye has come out of the eye lids , He has removed the tumour in2008 but has grown after that , need a suitable doctor who can treat him
[|AI|]  Hi, Thanks for writing in. It is probable that your brother has a recurrent pituitary tumor which has grown after surgery. It is 7 years after his surgery and therefore the tumor has been growing steadily to cause his eye to get protruded. Furthermore, it is important to see his pre-operative MRI scan and interval scans to know the extent of the tumor and the pressure it is causing on the adjacent structures. If the tumor has grown slowly in few years then it is possible to assess the condition and suggest a surgery. You should consult doctors in head and neck oncology and a neurosurgeon at a specialist cancer institute in your location. They will do imaging evaluation and know which approach of treatment is better for your brother. There might be a requirement of radiation treatment, chemotherapy and surgery which needs to be carefully planned. Many doctors can handle such cases, and it is important to get urgent consultation because if the optic nerve gets damaged then vision will get affected. Please do not worry.