A prolactin-secreting tumor in a patient with Klinefelter's syndrome : A case report

We report the case of a patient with Klinefelter's syndrome who developed a prolactin (PRL)-secreting tumor. The patient developed headaches, visual alterations and also symptoms of hypogonadism despite appropriate testosterone (T) replacement therapy. The diagnosis of hyperprolactinemia was th...

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Veröffentlicht in:Journal of endocrinological investigation 1996-04, Vol.19 (4), p.248-252
Hauptverfasser: PINTO, A.-C. A. R, CZEPIELEWSKI, M. A, GROSS, J. L, MUSSIO, W, LENGYEL, A.-M. J
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container_issue 4
container_start_page 248
container_title Journal of endocrinological investigation
container_volume 19
creator PINTO, A.-C. A. R
CZEPIELEWSKI, M. A
GROSS, J. L
MUSSIO, W
LENGYEL, A.-M. J
description We report the case of a patient with Klinefelter's syndrome who developed a prolactin (PRL)-secreting tumor. The patient developed headaches, visual alterations and also symptoms of hypogonadism despite appropriate testosterone (T) replacement therapy. The diagnosis of hyperprolactinemia was then suspected. The laboratory findings confirmed the hypothesis, showing high levels of serum PRL. The patient was initially treated with oral bromocriptine, and afterwards with the injectable form. There was a marked decrease in PRL levels and in tumor size. Although some neoplasms, like breast carcinoma and germ cell tumors, are known to occur more frequently in patients with Klinefelter's syndrome, an association with PRL-secreting tumor has not been reported yet. In conclusion, symptoms of hypogonadism in patients with Klinefelter's syndrome receiving appropriate T replacement therapy can suggest the presence of hyperprolactinemia.
doi_str_mv 10.1007/BF03349876
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subjects Adenoma - diagnosis
Adenoma - secretion
Adult
Biological and medical sciences
Chromosome aberrations
Humans
Hyperprolactinemia - diagnosis
Hyperprolactinemia - etiology
Hypogonadism - etiology
Hypogonadism - physiopathology
Klinefelter Syndrome - complications
Klinefelter Syndrome - drug therapy
Klinefelter Syndrome - physiopathology
Male
Medical genetics
Medical sciences
Prolactin - secretion
Testosterone - therapeutic use
title A prolactin-secreting tumor in a patient with Klinefelter's syndrome : A case report
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