AI Article Synopsis
- Prolactin-secreting adenomas are uncommon in older women and can be mistaken for menopause symptoms, complicating diagnosis.
- A case study of a 57-year-old woman showed symptoms of secondary amenorrhea and galactorrhea, leading to the discovery of hyperprolactinemia and an 8 mm left pituitary adenoma via MRI.
- Dopaminergic treatment resulted in a temporary return of menstrual cycles, reduction of hot flushes, normalization of prolactin levels, and a decrease in adenoma size.
Article Abstract
Prolactin-secreting adenoma is rare in elderly women. Patient's clinical picture may be confused with that of menopause, making diagnosis sometimes difficult. We report the case of a 57-year old woman with a 2-year history of secondary amenorrhea without hot flushes associated with galactorrhea in order to highlight the peculiarities of prolactin-secreting microadenomas. Physical examination confirmed the diagnosis of galactorrhoea and biology showed hyperprolactinemia at mIU/L, FSH = 15.1 IU/L and LH = 4,1 IU/L. Pituitary MRI showed left adenoma measuring 8 mm. Patient's evolution under dopaminergic treatment was marked by the recovery, for a transitional period, of mestrual cycles and the occurrence of hot flushes, normalization of prolactin levels and reduction of adenoma size.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579441 | PMC |
| http://dx.doi.org/10.11604/pamj.2017.27.177.11677 | DOI Listing |
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