Vol. 11 - Num. 44
Clinical Reviews
Emilio García Garcíaa, M Rivero Garviab, M Aguilar Pérezc, M Fajardo Cascosd, J Márquezb
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: 20128
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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