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Old 06-12-2011
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Question Prolactinoma!! Medical or Surgical treatment!

hi everyone
i know that the main treatment for prolactinoma is dopamine agonists and surgery is a second option..
But if a patient with prolacinoma has visual field deficits and head ache, what will be the first option? medical or surgical?
plz let me know
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Old 06-12-2011
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i think surgical
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Old 06-16-2011
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Check this out-useful! 2 scenarios!

http://www.pituitary.org/disorders/prolactinomas.aspx

1. In patients who present with loss of vision, dopamine agonist therapy is also usually indicated first unless the visual loss has occurred relatively suddenly over a period of one to two weeks or less. For the minority of patients that do not respond well to cabergoline or bromocriptine, surgery should generally be performed within 6 months of starting dopamine agonist therapy.

2. Pituitary Apoplexy associated with prolactinoma- Patients with macro-prolactinomas may have acute hemorrhage into the tumor (pituitary apoplexy) causing relatively sudden onset of headache, visual loss, double vision, and/or pituitary failure. Urgent transsphenoidal surgery is generally required for such patients.
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Old 06-17-2011
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thanx dude..that was really helpful and i got my asnwer :-)
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Old 06-24-2011
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so this mean that treatment of prolactinoma always initially medical then if failed go with surgery ??

in UW there were many question about can you give us management of prolactinoma from UW

i remember many answers was go for surgery ( transsphenoidal ) but i can't remember questions exactly ...
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Endocrinology-, Oncology-, Surgery-

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