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Case Reports
. 2004 Sep-Oct;34(9-10):573-6.
doi: 10.1111/j.1445-5994.2004.00675.x.

Hyperprolactinaemia associated with a complex cystic pituitary mass: medical versus surgical therapy

W J Inder  1 , M R Macfarlane
Affiliations
Case Reports

Hyperprolactinaemia associated with a complex cystic pituitary mass: medical versus surgical therapy

W J Inder et al. Intern Med J. 2004 Sep-Oct.

Abstract

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.

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