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Case Reports
. 1992 Dec;55(12):1205-6.
doi: 10.1136/jnnp.55.12.1205.

Prolactin secreting pituitary carcinoma

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Case Reports

Prolactin secreting pituitary carcinoma

T Petterson et al. J Neurol Neurosurg Psychiatry. 1992 Dec.

Abstract

A man with a prolactin secreting pituitary carcinoma was treated by surgery and radiotherapy. Persistent hyperprolactinaemia partially responded to oral bromocriptine for four years. Serum prolactin then rose considerably with rapid, invasive tumour recurrence. Cytotoxic chemotherapy halted tumour progression for twelve months before fatal spread throughout the brain. Failure to normalise serum prolactin with bromocriptine may precede an aggressive course in patients with prolactinoma.

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