Management of a prolactinoma patient with manifestations of amenorrhea and infertility
Keywords:
prolactinoma, amenorrhea, infertilityAbstract
Prolactinoma is an adenoma arising from the lactotroph cells of the pituitary gland that secrete prolactin. It is considered the most commonly diagnosed pituitary tumor and accounts for about 40% of all pituitary tumors. This study discusses a female patient suffering from prolactinoma with manifestations of amenorrhea and infertility. According to an MRI examination, the patient had a tumor with signs of apoplexy measuring ± 2.7 x 1.5 x 1.9 cm in the intrasellar, extending to the suprasellar. On the other hand, an examination indicated that the prolactin serum level of the patient was > 200 ng/ml (increased). The patient had consulted a neurosurgeon for consideration of surgery due to the large size of the prolactinoma, but the patient temporarily refused surgery.
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