medically untreated prolactinoma 28mm in size unilateral painful ptosis before 1 week?Rx surgical/medical??
Question:
Answers:
This is a benign tumor of the pituitary gland. Preferred treatment is medically with cabergoline.
That's completely up to you and your physician.
You need ask if the drug will work on a prolactinoma that is that size.
If you are already having painful psosis problems, even if they have cleared perhaps you would want to shrink it with the medication, then have the surgery.
My friend in my class had the same surgery, only for a Cushing's Disease caused by a tumor... She had only mild problems afterwards.
Sit down and discuss the risk vs the benefits of both the drug and the surgery, discuss what would work best in your case, as your doctor has been treating you for a while.. Then figure out what you want to do.
Prolactinoma
Pathological features
Prolactin-secreting tumours less than 1 cm in diameter (microprolactinomas) may be present in up to 10% of postmartems; most are clinically without significance. Tumours larger than 1 cm (macroprlactinomas) have specific effects in women and men.
Pathphysiology and clinical features
In women
•Delay in the onset of menstruation
•The menstrual periods may be from amenorrhoea to
•Oligonemorrhoea although they are occasionally normal.
•Sterility is present even if the periods are normal.
•Galactorrhoea can vary form large quantity of milk production to a minor discharge.
•Reduction in libido is common.
Management
Medical.
Bromocriptine, an agent derived from ergot, is a dopamine agonist and inhibits the release of prolactin. In majority of patients, it returns the prolactin concentration to normal. Menstruation is quite rapidly restored and galactorrhoea is reduced. The drug is not always well tolerated because of side-effects, including nausea and vomiting, which can sometimes be limited by careful adjustment of the dose or by taking tablets intravaginally. If intolerance is severe, other ergot derivatives may be tried.
Surgical
Long-term treatment with bromocriptine for microprolactomas is popular because their prolactin secretion is very modest. Some expert centres do, however, consider microsurgery (transsphenoidal microadenomectomy) which has the advantage that can potentially cure the patient. For most macroprolactinomas, surgery is not curative and, when attempted , causes hypopituitism. Bromocriptine often induces tumour shrinkage. Radotherapy may be added in an attempt to induce a cure.
Please note that I am not a medical professional.
Please see the webpage for more details on Bromocriptine.
More Questions and Answers
- how do i get pneumonia?
- My nose sometimes get bleeding. Why is it?
- What can cause your eye to swell up and look like you got punched?
- somebody tell the facts?
- Faint, black strips under the skin on cheeks?
- what does borderline high IgA indicate?
- do u think it is scary to die?
- Skin Cancer?