Thursday, January 13, 2011

Turkish Delight

A 35 year old woman presents with infertility. She has irregular periods. Her husband has a child from a previous marriage. She denies galactorrhea. She does not take any medications. An MRI brain is shown above.

Challenge: What's your diagnosis?

Image shown under Fair Use.

3 comments:

Anonymous said...

Is it a pituitary adenoma ?

jimmy said...

Pituitary tumor

Craig Chen said...

exactly - pituitary adenoma...i was going for prolactinoma which does not always present with galactorrhea
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Turkish Delight

The title refers to the sella turcica (as well as C.S. Lewis' The Lion, the Witch, and the Warddrobe) where pituitary tumors can arise. This is a prolactinoma. Prolactin inhibits secretion of GnRH.

Sources: UpToDate; neurosurgery.ucla.edu.