Shen D Y, Guay A T, Silverman M L, Hybels R L, Freidberg S R
Neurosurgery. 1984 Sep;15(3):417-20. doi: 10.1227/00006123-198409000-00020.
A 32-year-old woman with secondary amenorrhea was found to have an elevated level of serum prolactin, partial diabetes insipidus, and a subtle visual field defect. A primary intrasellar tumor was noted on the computed tomographic scan. Although the tumor had some characteristics of a prolactinoma, transsphenoidal exploration revealed a primary germinoma. The tissue diagnosis led to appropriate treatment with radiotherapy. The tumor regressed, and the patient had a spontaneous pregnancy. Had dopamine agonists been used initially, amelioration of the hyperprolactinemia and delay in the proper diagnosis and treatment would have occurred.
一名32岁继发性闭经女性被发现血清催乳素水平升高、部分性尿崩症以及轻微视野缺损。计算机断层扫描显示蝶鞍内有原发性肿瘤。尽管该肿瘤具有一些催乳素瘤的特征，但经蝶窦探查发现是原发性生殖细胞瘤。组织诊断后进行了适当的放射治疗。肿瘤消退，患者自然受孕。如果最初使用多巴胺激动剂，高催乳素血症可能会改善，但会延误正确的诊断和治疗。
