Prolactinoma Flashcards

1
Q

What is the definition?

A

A benign lactotroph adenoma that secretes prolactin

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2
Q

What is the aetiology?

A
  • Prolactin-secreting pituitary adenomas
  • Most occur sporadically
  • Genetic causes (5% of cases)
  • MEN-1
  • carney complex
  • familial isolated pituitary adenoma syndrome
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3
Q

Risk factors

A
  • Female gender
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4
Q

Pathophysiology

A

Pituitary size:
- microadenomas ≤ 10mm
- Macroadenomas > 10mm
with suprasellar extension may result in bitemporal hemianopia.

Functional pituitary adenoma (60%)

  • secretory pituitary adenomas
  • associated with hormone secretion and therefore hyperpituitarism
  • commonly one hormone secretion
  • prolactinoma is associated with excessive
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