Hyperprolactinaemia associated with a complex cystic pituitary mass: medical versus surgical therapy.
A 39-year-old woman presented with visual loss and hyperprolactinaemia. Magnetic resonance imaging showed an intrasellar and suprasellar mass with a large cystic component that was hyperintense on T2-weighted imaging. Prolactin levels were up to 5400 mIU/L. Following trans-sphenoidal surgery, histology showed -elements of both a Rathke's cleft cyst and prolactinoma. We suggest primary surgical management of large cystic pituitary lesions with associated hyperprolactinaemia, particularly when there is hyperintensity on T2-weighted imaging.
Department of Endocrinology, Christchurch Hospital, Christchurch, New Zealand. winder@medstv.unimelb.edu.au
W J
WJ
Inder
M R
MR
Macfarlane
D000328:Adult; D020863:Central Nervous System Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006966:Hyperprolactinemia / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D010911:Pituitary Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D015175:Prolactinoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D014786:Vision Disorders / Q000209:etiology*