Nonfunctional pituitary macroadenoma manifested as muscular symptoms.
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.
Matsubara
Akio
A
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
Tamura
Aki
A
Matsumura
Syunji
S
Yokoya
Hitoshi
H
Maruyama
Satoshi
S
Kobayashi
Kanao
K
Kawamoto
Yukihiko
Y
Teishima
Jun
J
Seki
Mitsuhiro
M
Usui
Tsuguru
T
D000236:Adenoma / Q000150:complications*; D000368:Aged; D006801:Humans; D007006:Hypogonadism / Q000150:complications*; D008297:Male; D018908:Muscle Weakness / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000150:complications*