Giant prolactinoma: case report and review of literature

“Invasive giant prolactinoma” is a large prolactinoma (>4 cm in dimension) presenting with serum prolactin levels of >1000 ng/dL and mass related clinical symptoms. Here we report a patient with a giant prolactinoma presented with central hypogonadism, suppressed adrenal and thyroid function,...

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Veröffentlicht in:Journal of diabetes and metabolic disorders 2013-01, Vol.12 (1), p.3-3, Article 3
Hauptverfasser: Rahmanian, Masoud, Meybodi, Hamidreza Aghaei, Larijani, Bagher, Mohajeri-Tehrani, Mohammad-reza
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container_title Journal of diabetes and metabolic disorders
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creator Rahmanian, Masoud
Meybodi, Hamidreza Aghaei
Larijani, Bagher
Mohajeri-Tehrani, Mohammad-reza
description “Invasive giant prolactinoma” is a large prolactinoma (>4 cm in dimension) presenting with serum prolactin levels of >1000 ng/dL and mass related clinical symptoms. Here we report a patient with a giant prolactinoma presented with central hypogonadism, suppressed adrenal and thyroid function, supra sellar extension, visual field impairment and high prolactin level. The patient was treated with cabergoline, levothyroxin and prednisolone. After 18 months, tumor size markedly reduced, associated with adrenal function and visual field improvement, but central hypogonadism and secondary hypothyroidism persisted. Previous studies showed normalization of thyrotropin secretion after treatment but it remained low in our patient even after 18 months follow up.
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SpringerLink Journals - AutoHoldings
subjects Care and treatment
Case Report
Corticosteroids
Diabetes
Endocrinology
Hypothyroidism
Medicine & Public Health
Metabolic Diseases
Prednisolone
Prolactin
Thyroid hormones
Thyrotropin
title Giant prolactinoma: case report and review of literature
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