title: Nonfunctional pituitary macroadenoma manifested as muscular symptoms.
abstract: A 75-year-old man with a large pituitary adenoma presented with general muscular weakness, including difficulty in rising in the morning and forceless defecation and urination, and muscular pain, numbness and atrophy in the shoulder, neck and thigh. Testosterone replacement and subsequent resection of the pituitary tumor resulted in resolution of the symptoms. The value of pituitary imaging tests for men with hypogonadotropic hypogonadism is discussed.
authors.affiliation: Department of Urology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. matsua@hiroshima-u.ac.jp
authors.forename: Akio
authors.initials: A
authors.lastname: Matsubara
authors.forename: Aki
authors.initials: A
authors.lastname: Tamura
authors.forename: Syunji
authors.initials: S
authors.lastname: Matsumura
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoya
authors.forename: Satoshi
authors.initials: S
authors.lastname: Maruyama
authors.forename: Kanao
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Kawamoto
authors.forename: Jun
authors.initials: J
authors.lastname: Teishima
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Seki
authors.forename: Tsuguru
authors.initials: T
authors.lastname: Usui
mesh_terms: D000236:Adenoma / Q000150:complications*; D000368:Aged; D006801:Humans; D007006:Hypogonadism / Q000150:complications*; D008297:Male; D018908:Muscle Weakness / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000150:complications*