Levine M, Koppelman M C, Patronas N, Weintraub B
South Med J. 1986 Sep;79(9):1183-4. doi: 10.1097/00007611-198609000-00041.
A 25-year-old woman with galactorrhea, oligomenorrhea, hyperprolactinemia, and CT evidence of pituitary enlargement had transsphenoidal microsurgery with initial resolution of hyperprolactinemia, but persistent oligomenorrhea and galactorrhea. In retrospect, she had biochemical evidence of primary hypothyroidism before operation, despite being clinically euthyroid. Administration of thyroid hormone resulted in resolution of the pituitary enlargement and the symptoms.
一名25岁女性，有溢乳、月经过少、高催乳素血症，CT显示垂体增大，接受了经蝶窦显微手术，术后高催乳素血症初步缓解，但月经过少和溢乳仍持续存在。回顾发现，尽管临床甲状腺功能正常，但术前她已有原发性甲状腺功能减退的生化证据。给予甲状腺激素后，垂体增大及症状均得到缓解。
