Prolactinoma Flashcards
1
Q
What is Prolactinoma?
A
Benign Pituitary Tumor (Adenoma) = XS prolactin
2
Q
What is Hyperprolactinemia?
A
XS serum prolactin, sign of prolactinoma.
3
Q
Presentation of Proclatinoma/Hyperprolactinemia?
Men vs Women?
A
Reduced Fertility + Libido
Men: Erectile dysfunction
Women: Oligo/amenorrhoea (reduced or none)
4
Q
Other causes of Hyperprolactinemia (most-least common)?
A
1) Iatrogenic
2) Idiopathic
3) Hypothyroidism
MUST EXCLUDE PREGNANCY!
5
Q
Investigations for Hyperprolactinemia?
A
1) Bloods - Exclude pregnancy + TFTs
2) Serum prolactin: >400 = repeat, >5000 = Diagnosis
6
Q
Managing Prolactinoma?
A
1) Dopamine Agonist - Cabergoline + Bromocroptine
2) Surgery
