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Vol. 11 - Num. 44

Clinical Reviews

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

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

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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