It will depend on whether the tumor continues to grow. He may get improvement with time, hard to predict. I had acromegaly six years ago and was successfully treated by transphenoidal surgery at Emory University. My surgeon made it very clear that surgery was very difficult with a patient who had been treated with drugs. Surgery offers a cure rate of between 60 and 90 percent.
Drugs can do no more than control the illness.
What would you expect a surgeon to say. There are many different types of acromegaly- depending a great deal on the size of the tumor. Many neurosurgeons insist on prior treatment to shrink the tumor. The three options are surgery, beam radiation and drugs. He is 49, quite large, and has just been officially diagnosed as having Acromegaly, the disease arising from an overproduction of hormones which causes continuous growth.