Prolactinoma with galactorrhea and dysfunction erectile in man, a case report

DOI

10.2991/ichlas-17.2017.10How to use a DOI?

Keywords

prolactinoma, galactorrhea, dysfunction erectile

Abstract

Prolactinoma, is the most common type of pituitary adenoma. Signs and symptoms are due to either the effect of excess hormone secretion or local compression. Here we report a male patient with prolactinoma presented with high prolactin level, severe headache, diffuse arthralgias, visual field impairment, erectile dysfunction, and galactorrhea. A 40-year-old married man was admitted to the hospital with severe headache, diffuse arthralgias, bitemporal hemianopsia, galactorrhoea, and erectile dysfunction. The pubic and axillary hairs appeared normal and the development of the external genital organs seemed normal. Endocrinological studies revealed hyperprolactinemia. The serum testosterone was low, while the thyroid hormone, growth hormone, and cortisol hormone levels were normal. An X-ray of his L spine was concerning for decreased bone mass. CT scan Pituitary with contrast showed a large macroprolactinoma mass. The diagnosis of prolactinoma was made, and because the patient has progressive vision loss, combination therapy of surgery, typically a transphenoidal resection of the tumor and medication with cabergoline 0.5 mg twice weekly, was suggested. Prolactinoma in patients can cause clinical symptoms as a result of mass effects and/or hyperprolactinaemia. Careful history and physical examinations should reveal the diagnosis.

Copyright

© 2017, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Hari Hendarto
PY  - 2017/12
DA  - 2017/12
TI  - Prolactinoma with galactorrhea and dysfunction erectile in man, a case report
BT  - Proceedings of the 1st International Integrative Conference on Health, Life and Social Sciences (ICHLaS 2017)
PB  - Atlantis Press
SN  - 2468-5739
UR  - https://doi.org/10.2991/ichlas-17.2017.10
DO  - 10.2991/ichlas-17.2017.10
ID  - Hendarto2017/12
ER  -