Wednesday 15 July 2015

Microprolactinoma - possibility of recurrence

 Microprolactinoma is a small sized pituitary tumor which secreat prolactin in larger quantities.
Usually medical treatment can cure this condition.

But sometimes it may take longer periods for the treatment.
In case of persistent elevation of prolactin levels even after treatment, factors should be ruled out like:
-Thyroid hormonal abnormalities and kidney function abnormalities, which can affect prolactin levels.
-Some medicines can lead to increased prolactin levels like:
○The anti-sickness medicines metoclopramide and domperidone.
○Antidepressants of the selective serotonin reuptake inhibitor (SSRI) type.
○Some medicines used to treat schizophrenia or bipolar disorder.
-Prolactinomas can recur even after successful treatment with medication or surgery.
So monitoring with regular blood tests is needed to check that the prolactinoma has not come back.
If it recurs, then treatment should be restarted.

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