Trokoudes K M, Walfish P G, Holgate R C, Pritzker K P, Schwartz M L, Kovacs K
JAMA. 1978 Aug 4;240(5):471-3.
A woman with secondary amenorrhea was found to have hyperprolactinemia without clinical galactorrhea. Radiological findings of an enlarged sella turcica with displacement of the pituitary stalk were considered consistent with a prolactin macroadenoma. Treatment with bromocriptine corrected the amenorrhea and hyperprolactinemia, and the patient inadvertently became pregnant. However, no complications to the mother or fetus occurred during pregnancy or postpartum. On transsphenoidal surgery three months postpartum, the unexpected presence of a large Rathke's pouch cyst with a microadenomatous or nodular hyperplasia type of prolactin-secreting tumor was observed to account for the preoperative clinical and radiological findings.
一名继发性闭经的女性被发现患有高催乳素血症，但无临床溢乳症状。蝶鞍增大且垂体柄移位的影像学表现被认为与催乳素大腺瘤相符。使用溴隐亭治疗纠正了闭经和高催乳素血症，患者意外怀孕。然而，孕期及产后母亲和胎儿均未出现并发症。产后三个月经蝶窦手术时，发现意外存在一个大的拉克氏囊肿，伴有微腺瘤或结节样增生型分泌催乳素的肿瘤，这可以解释术前的临床和影像学表现。
