The document provides evidencebased practical and updated recommendations for diagnosis and management of hyperprolactinemia and prolactinoma, including druginduced hyperprolactinemia, treatment options for prolactinoma drugs, surgery, and radiotherapy, prolactinoma in pregnancy, adverse effects of dopaminergic agents, and drugresistant. Nfa stalk effect can raise prolactin up to 150 mgl c. Protocolo clinico e diretrizes terapeuticas hiperprolactinemia. Pdf prolactinoma gigante 3 casos clinicos e revisao da. The document provides evidencebased practical and updated recommendations for diagnosis and management of hyperprolactinemia and prolactinoma. A prolactinoma is almost always benign, meaning it is not a cancer. Prolactinoma tumores hipofisarios enfermedades del. Atypical macroprolactinoma can have a prolactin below 200.
Prolactinoma gigante 3 casos clinicos e revisao da literatura. Excepcionalmente pueden ser malignos produciendo invasion local y a. Em pacientes com sinais e sintomas relacionados a hiperprolactinemia, a avaliacao serica da prl e mandatoria. Microprolactinoma prolactin can be as low as 50 m gl 2. Bromocriptine and cabergoline are the dopaminergics most common used, but ther is preference for the latter for its high effectivity and lesser side effects. Prolactinoma gigante 3 casos clinicos e revisao da. Clinicamicroadenomas galactorrea hipogonadismo hipogonadotropo, por deficit gnrh. A prolactinoma is an abnormal growth, or tumor, on the pituitary gland. Pdf hiperprolactinemia y prolactinoma researchgate. Hiperprolactinemia y prolactinoma by mercedes pinto on prezi. Hiperprolactinemia y prolactinoma by mercedes pinto on. Protocolo clinico e diretrizes terapeuticas hiperprolactinemia portaria sasms n. About 1 in 10,000 people will develop a prolactinoma for which a clear cause is not known. Prolactinoma tumores hipofisarios enfermedades del hipotalamo.