Prolactinoma Flashcards

1
Q

What is a prolactinoma?

A

Prolactinoma is a noncancerous tumour of the pituitary gland, which causes excessive prolactin production

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2
Q

Symptoms of prolactinoma?

A

Headache

Insomnia

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3
Q

Signs of prolactinoma?

A
Visual field defects (bilateral temporal hemianopia)
Palsy of III, IV, VI cranial nerves
Oligomenorrhea
Galactorrhea
Erectile dysfunction
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4
Q

Investigations for prolactinoma?

A

Prolactin levels

MRI head

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5
Q

Management of prolactinoma?

A
  1. Dopamine agonist e.g. bromocriptine
  2. Surgery – trans-sphenoidal
  3. Radiotherapy
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