Discussion in 'MRCS Forum' started by Lona., Feb 4, 2008.

  1. Lona.

    Lona. Guest

    Q. A 15-year-old female high school student begins to notice galactorrhea. A frequently associated finding may be -

    a- Gonadal atrophy
    b- Bitemporal hemianopsia
    c- Exophthalmos and lid lag
    d- Episodic hypertension
    e- Buffalo hump
  2. Lona.

    Lona. Guest

    Answer: b. (Schwartz, 7/e, pp 1620-1628) Prolactin-secreting tumors in the pituitary gland (previously called chromophobe adenomas) may grow to large size and cause Bitemporal hemianopsia because of proximity to the optic chiasm. They are typically associated with amenorrhea and galactorrhea (the A/G syndrome) in women. In both sexes, lack of libido and impotence or infertility may be noted. Sexual vigor is usually restored after removal of the adenomas. These tumors are not life-threatening if their physician size is not an issue or the relative sexual dysfunction is not a problem, benign neglect is sometimes recommended.

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