A Double Pituitary Adenoma Presenting as a Prolactin-secreting Tumor with Partial Response to Medical Therapy. Case report

Autor: Eva Horvath, H. S. Smyth, Kalman Kovacs, Dominic Rosso, Claire Coire
Rok vydání: 2010
Předmět:
Zdroj: Endocrine Pathology. 21:135-138
ISSN: 1559-0097
1046-3976
Popis: Double pituitary adenomas are difficult to recognize pre-operatively as only a single mass may be appreciated on imaging. We present herein a giant prolactin-secreting pituitary adenoma in a middle-aged man that had responded partially to dopamine agonist therapy. The excised specimen demonstrated a double adenoma. The prolactin-producing one displayed the expected morphological changes resulting from medical therapy, while the other, a gonadotroph adenoma, did not. The failure of tumor shrinkage can be attributed to the presence of a double adenoma, a previously unreported cause of failure of medical therapy in prolactinoma.
Databáze: OpenAIRE