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?
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3 comments:
Is it a pituitary adenoma ?
Pituitary tumor
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.
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