Abstract: Pituitary adenomas are common tumors of the endocrine system,most of which are benign.However,despite surgical or medical treatment,some patients experience residual or recurrent tumors,inadequate control of tumor growth,or endocrine dysfunction,presenting significant challenges to clinicians.This article reviews the latest advances in the treatment of recurrent pituitary adenomas,including surgical treatment,medical oncology,and radiotherapy.It focuses on radiotherapy,covering radiotherapy methods,adverse reactions and complications after radiotherapy,protection against radiation damage,and future prospects.

Key words: pituitary adenoma, surgical treatment, drug therapy, radiotherapy, precision radiotherapy