Prolactinoma: a diagnosis to be taken into account in children with pituitary neoplasms

Emilio García García^a, M Rivero Garvia^b, M Aguilar Pérez^c, M Fajardo Cascos^d, J Márquez^b

^aUnidad de Endocrinología Pediátrica. Hospitales Universitarios Virgen del Rocío. Sevilla. España.
^bServicio de Neurocirugía. Hospitales Universitarios Virgen del Rocio. Sevilla. España.
^cServicio de Radiodiagnóstico. Hospitales Universitarios Virgen del Rocío. Sevilla. España.
^dServicio de Radiodiagnóstico. Hospitales Universitarios Virgen del Rocio. Sevilla. España.

Correspondence: E García. E-mail: ggej@hotmail.com

Reference of this article: García García E, Rivero Garvia M, Aguilar Pérez M, Fajardo Cascos M, Márquez J. Prolactinoma: a diagnosis to be taken into account in children with pituitary neoplasms. Rev Pediatr Aten Primaria. 2009;11:607-12.

Published in Internet: 31-12-2009 - Visits: 20695

Abstract

Pituitary adenomas are rare in childhood and adolescence and half of them are prolactinomas. In this report, we present a 13-year-old boy with a sellar and suprasellar cystic lesion treated with surgery; afterwards, histopathological and immunohistochemical examinations revealed a prolactinoma. Cystic macroprolactinomas are extremely rare in prepuberty, nevertheless they have been reported from the age of 9 years. The differential diagnosis with cystic craniopharyngioma is important, as treatment with dopamine-agonists may be the first choice in prolatinomas, whereas a transcranial surgery is required for a suprasellar craniopharyngioma.

Keywords

● Adolescent ● Child ● Pituitary apoplexy ● Pituitarys neoplasms ● Prolactinoma

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