Clinical aspects of the plurihormonal pituitary adenoma formation

Abstract

Generally pituitary tumors have a benign growth, however, there are difficulties in diagnosis and treatment because of non-specific symptoms and the inability to predict the tumor growth. In clinical practice a hormonal activity of tumors has the significant role. To a greater extent, pituitary adenomas are prolactinomas, but the hypersecretion of prolactin could be combined with an excessive production of somatotropic hormone. In this case, the clinical picture of hyperprolactinemia is accompanied by acromegaly symptoms. The presented clinical case demonstrates the main reasons for the clinical appointment such as menstrual cycle disorders, prenatal preparation. A hyperprolactinemia has been detected, but as a treatment result, drug compensation was achieved and pregnancy occurred, then the woman gave birth without obstetric complications. Subsequently, other complaints arose, which expanded the diagnostic search and revealed the presence of a plurihormonal tumor.