Simulation of a Prolactin-secreting Adenoma by an Intrasellar Craniopharyngioma

Abstract

We report here an unusual case of a 21-year-old woman who presented with amenorrhea, galactorrhea, and hyperprolactinemia (66 to 81 ng/ml) secondary to an unsuspected intrasellar craniopharyngioma. The results of preoperative endocrine testing were compatible with the presence of a prolactin-secreting adenoma. Moreover, high resolution computed tomographic scanning revealed an uncalcified hypodense sellar mass that did not enhance after contrast administration, a feature shared by many prolactinomas. This report illustrates that amenorrhea, galactorrhea, mild to moderate hyperprolactinemia, and a sellar mass should not automatically be attributed to the presence of a prolactin-secreting adenoma.

Document Details

Document Type
Pub Defense Publication
Publication Date
May 01, 1985
Source ID
10.1227/00006123-198505000-00021

Entities

People

  • Charles Eil
  • Eric Six
  • George T. Gamblin
  • John H Thomas
  • L. Patrick James

Organizations

  • Walter Reed National Military Medical Center

Tags

Fields of Study

  • Medicine

Readers

  • Electrochemical Surface Science
  • Medical Imaging.
  • Women's Health and Cancer Risk Research: African American Women and Pregnancy Outcomes.