endo prolactinoma

Question 1

clinical features of microadenomas and macroadenomas

Answer 1

micro: asymptomatic
macro: hypopituitarism, mass effect

Question 2

what is a prolactinoma

Answer 2

prolactin secreting adenoma

Question 3

what is the enxt step in a patient presenting with hormonal disturbances (features of hypo or hyper pituitarism)

Answer 3

Mri for pit adenoma

Question 4

next step in investigations for a patients presenting with features of mass effect ie bitemporal heminopia headache diplopia

Answer 4

hormonal assay to confirm pituitary dysfunction

Question 5

management of patients with prolactinomas

Answer 5

pharmaco:

dopamine agonist : cabergoline

Question 6

mx of secretory adenomas(minus prolactinomas) and symptomatic non secretory adenomas

Answer 6

surgery

transphenoidal hypophysectomy