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?

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3 comments:

  1. AnonymousJanuary 14, 2011 at 1:33 PM

    Is it a pituitary adenoma ?

    ReplyDelete
  2. jimmyJanuary 17, 2011 at 9:08 AM

    Pituitary tumor

    ReplyDelete
  3. CraigJanuary 17, 2011 at 9:20 AM

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

    ReplyDelete

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