Pituitary & Skull Base Program
Specialized pituitary and skull base care combining deep surgical experience with a collaborative neurosurgery and ENT approach and the full range of endoscopic, minimally invasive and open surgical options.
New Jersey’s most experienced pituitary surgery program.
Our Pituitary & Skull Base Program performs more endoscopic endonasal pituitary tumor surgeries than any other program in New Jersey. That experience matters when surgery takes place within millimeters of the optic nerves, major blood vessels and structures that control hormone function.
No two pituitary or skull base tumors are exactly alike. The safest and most effective treatment depends on the tumor’s type, size, location and relationship to the critical structures around it—and sometimes the best treatment isn’t surgery at all.
The best pituitary care isn’t built around a single surgeon. It brings together specialists who understand the tumor, the skull base and the delicate anatomy surrounding both.
- More endoscopic endonasal pituitary tumor surgeries than any other program in New Jersey
- Neurosurgery and ENT expertise working together in the operating room
- Experience with complex, recurrent and difficult-to-access tumors
A Team Built Around Pituitary and Skull Base Care
Pituitary and skull base tumors sit at the intersection of the brain, sinuses, nerves and blood vessels. That’s why our program brings neurosurgery and ENT skull base expertise together from the start.
Co-DirectorYaron A. Moshel, MD, PhD
Neurosurgery · Pituitary & Skull Base Surgery
Meet Dr. Moshel →
Co-DirectorGiant Lin, MD
ENT · Endoscopic Skull Base Surgery
Meet Dr. Lin →
Fabio A. Frisoli, MD
Neurosurgery · Skull Base Surgery
Meet Dr. Frisoli →
Stephen A. Johnson, MD
Neurosurgery · Skull Base Surgery
Meet Dr. Johnson →Pituitary and skull base conditions we treat
From common pituitary adenomas to rare and complex skull base tumors, our team treats conditions in some of the most delicate anatomy in the brain. The diagnosis, location and behavior of the tumor help determine not only whether treatment is needed, but which approach makes the most sense.
Pituitary Tumors
- Pituitary Adenomas →
- Functioning Pituitary Tumors
- Nonfunctioning Pituitary Tumors
- Recurrent Pituitary Tumors
Sellar & Parasellar
- Rathke’s Cleft Cysts →
- Craniopharyngiomas →
- Pituitary & Parasellar Tumors →
- Other Pituitary-Region Masses
Skull Base Tumors
- Chordomas →
- Chondrosarcomas
- Skull Base Meningiomas →
- Other Complex Skull Base Tumors
Not sure where your diagnosis fits? Our team can review your diagnosis and help you understand your options.
Request an Appointment →More options mean a more individualized approach.
There is no single approach to pituitary and skull base tumors. Treatment depends on the tumor’s type, size, location and relationship to critical nerves and blood vessels — as well as your symptoms, hormone function and overall health.
Endoscopic Endonasal Surgery
A minimally invasive approach through the nose that provides direct access to many pituitary and skull base tumors without an external incision or brain retraction.
Learn more →Minimally Invasive Skull Base Surgery
Keyhole and endoscope-assisted techniques provide access to complex tumors through smaller surgical corridors while minimizing disruption to surrounding brain tissue.
Learn more →Open Skull Base Surgery
For tumors better reached from above or around the skull base, open approaches provide broader access to complex anatomy and tumors that extend beyond an endoscopic corridor.
Learn more →Stereotactic Radiosurgery (SRS)
Highly focused radiation precisely targets selected pituitary and skull base tumors without an incision and may be used for residual, recurrent or otherwise appropriately selected tumors.
Learn more →Sometimes the best approach isn’t just one approach.
Our team has expertise across endoscopic, minimally invasive and open skull base surgery — and can combine approaches when needed. That breadth gives our surgeons the flexibility to plan around your tumor’s location, anatomy and complexity.
A direct route to some of the most complex anatomy.
For many pituitary and skull base tumors, an endoscopic endonasal approach creates a surgical corridor through the nose and sinuses. Neurosurgery and ENT skull base specialists work together to reach the tumor without a traditional craniotomy or external incision.
Through the Nose
The endoscope and specialized instruments pass through the nasal passages and sinuses to reach tumors at the center of the skull base.
A Direct Surgical Corridor
For appropriately selected tumors, approaching from below can provide direct access while avoiding the need to move or retract brain tissue.
Close-Up Visualization
High-definition endoscopy gives the surgical team a magnified, illuminated view of the tumor and the critical structures surrounding it.
Two Specialties, One Operation
Neurosurgery and ENT skull base specialists operate together, combining expertise in tumor removal, the nasal corridor and skull base reconstruction.
Back to what matters.
Christopher's pituitary tumor was affecting his vision, hormones and energy. Yaron Moshel, MD, PhD, and Giant Lin, MD, removed it through a minimally invasive endoscopic approach through the nose. Within months, Christopher was feeling like himself again.
“My life is so much better for having met Dr. Lin and Dr. Moshel.” — ChristopherRead Christopher's story
Pituitary care goes beyond the tumor.
Pituitary and skull base tumors can affect hormone function, vision and other systems well beyond the tumor itself. Our program coordinates the specialists needed to understand those effects and build a treatment plan around the whole diagnosis.
Neurosurgery
Tumor evaluation, surgical planning and treatment across endoscopic, minimally invasive and open approaches.
ENT / Skull Base Surgery
Works alongside neurosurgery during endoscopic endonasal procedures, with expertise in the nasal corridor and skull base reconstruction.
Endocrinology
Evaluates pituitary hormone function and helps manage hormonal changes before and after treatment.
Ophthalmology / Neuro-Ophthalmology
Evaluates vision and visual pathways when tumors involve or place pressure on the optic nerves.
Radiation Oncology
Provides focused radiation, including stereotactic radiosurgery, when it is part of the treatment plan.
One diagnosis. The right specialists around it.
Your care is coordinated around what your diagnosis requires — from surgical treatment to hormone function, vision and long-term follow-up.
From diagnosis to a plan you understand.
A pituitary or skull base diagnosis can come with a lot of questions. Our goal is to make the next steps clear — beginning with a careful review of your diagnosis, imaging, symptoms and any previous treatment.
We Review
Your Case
Your imaging, diagnosis, symptoms, hormone testing and previous treatment help us understand the full picture.
You Meet the
Right Specialists
Your evaluation is coordinated with the specialists your diagnosis requires, so the right expertise is involved from the start.
We Build Your
Treatment Plan
We walk you through your options, why a particular approach may make sense and what you can expect.
Your Treatment
Comes Together
When surgery or another treatment is needed, the specialists involved in your care work together around a shared plan.
We Stay With You
After Treatment
Follow-up is coordinated around your needs, including imaging, hormone function, vision and recovery.
Already have a diagnosis or imaging? Our team can review your case and help you understand what comes next.
Request an Appointment →Pituitary and skull base conditions we treat
Our team treats a wide range of pituitary, sellar and skull base tumors, from common pituitary adenomas to rare and complex tumors involving critical nerves and blood vessels.
Do all pituitary tumors need surgery?
No. Whether surgery is appropriate depends on the type of tumor, its size and growth, hormone activity, symptoms and its effect on nearby structures such as the optic nerves. Your evaluation helps determine what treatment, if any, is appropriate.
Can all pituitary tumors be removed through the nose?
No. Endoscopic endonasal surgery is an option for many pituitary and skull base tumors, but the safest approach depends on the tumor’s location, size and anatomy. Some tumors are better treated with a minimally invasive or open skull base approach, and complex cases may require a combination of techniques.
Will I have an incision with endoscopic endonasal surgery?
Typically, there is no external incision. The surgical team reaches the skull base through the nasal passages and sinuses using an endoscope and specialized instruments.
Why are both a neurosurgeon and an ENT skull base surgeon involved?
For endoscopic endonasal procedures, the two specialties bring complementary expertise. The ENT skull base surgeon provides expertise in the nasal and sinus corridor and reconstruction, while the neurosurgeon focuses on the tumor and surrounding brain, nerves and blood vessels.
What should I bring for a second opinion or consultation?
If available, bring your MRI or other imaging, radiology reports, pathology results, hormone testing, medication list and records from previous treatment. Our team can tell you what is needed before your visit.
What happens after pituitary surgery?
Follow-up depends on your diagnosis and treatment and may include postoperative imaging, hormone testing, vision evaluation and visits with the specialists involved in your care.
Wherever you are, we can help
Whether you’ve just received a diagnosis, are weighing treatment options or need another opinion, our brain tumor team can help you understand what comes next.
I was just diagnosed
Understand your diagnosis and meet with a specialist to discuss your next steps.
I need a second opinion
Have your diagnosis, imaging and treatment recommendations reviewed by our brain tumor specialists.
I’ve been told I need surgery
Learn which surgical approach may offer the safest and most effective treatment for your tumor.
I want to understand my diagnosis
Learn about your type of brain tumor and what it may mean for your treatment options.
I’ve been sent to the hospital
You can still choose your neurosurgical team. Ask for Atlantic Brain & Spine.
Put your pituitary or skull base care in experienced hands.
From a new diagnosis to a complex brain tumor, our specialists can help you understand your options and determine the right next step.
This page is for general education and does not replace medical advice. Treatment decisions should be made with a qualified spine surgeon based on your individual diagnosis and imaging.
Medically reviewed by Yaron A. Moshel, MD, PhD, Neurosurgeon · Last reviewed: September 9, 2026
