Prolactinoma

    Prolactinoma is the most common secretory Pituitary tumor

    Tumor Size less than 10 mm are micro prolactinomas and more than 10 mm are macro prolactinomas

    Serum prolactin level correlates with the size of the tumor

    Clinical presentation

    • Head ache and visual impairment
    • Amenorrhea, hirsutism, galactorrhea and infertility in women
    • Impotence, infertility and gynecomastia in men

    Investigations

    • Serial measurement of serum prolactin
    • MRI scan of Pituitary

    Management

    • Medical therapy
    • Surgery if medical treatment fails