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UCLA Pituitary and Skull Base Tumor Program

UCLA Pituitary and Skull Base Tumor Program

UCLA Pituitary and Skull Base Tumor Program
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Paradoxical Growth

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Synopsis

Our patient is a 54-year-old male presented with visual loss and loss of libido, diagnosed with macroprolactinoma, with institution of D2-agonist therapy, prolactin levels normalized but tumor continued to grow.


Clinical History


Pre-Operative Imaging


Operative Findings


Surgical Pathology


Post-Operative Course


Discussion

References

Molitch ME. Dopamine resistance of prolactinomas. Pituitary. 2003;6(1):19-27. Review.

Gillam MP, Middler S, Freed DJ, Molitch ME. The novel use of very high doses of cabergoline and a combination of testosterone and an aromatase inhibitor in the treatment of a giant prolactinoma. J Clin Endocrinol Metab. 2002 Oct;87(10):4447-51.

Lim JS, Ku CR, Lee MK, Kim TS, Kim SH, Lee EJ. A case of fugitive acromegaly, initially presented as invasive prolactinoma. Endocrine. 2010 Aug;38(1):1-5. Epub 2010Apr 24.

 

iCase of the Month also available at iTunes U

iCase of the Month also available at iTunes U

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