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A prolactinoma is a tumor of the pituitary gland that produces the hormone prolactin.It is the most common type of functioning pituitary tumor. [1] Symptoms of prolactinoma are due to abnormally high levels of prolactin in the blood (hyperprolactinemia), or due to pressure of the tumor on surrounding brain tissue and/or the optic nerves.
Hormone secreting pituitary adenomas cause one of several forms of hyperpituitarism.The specifics depend on the type of hormone. Some tumors secrete more than one hormone, the most common combination [8] being GH and prolactin, which present as Gigantism or Acromegaly and unexpected lactation (in both men and women).
Robert MacLeod's discovery that dopamine is the hormone responsible for inhibiting prolactin release led to Thorner being recruited to UVA to join in the research.He continued this work to develop treatment for prolactin-secreting pituitary tumors to restore normal prolactin levels and reduction the size of the tumor by using dopamine agonists.
A blood serum prolactin level of 1000–5000 mIU/L (47–235 ng/mL) may arise from either mechanism, however levels >5000 mIU/L (>235 ng/mL) is likely due to the activity of an adenoma. Prolactin blood levels are typically correlated to the size of the tumors. Pituitary tumors smaller than 10 mm in diameter, or microadenomas, tend to have ...
Hormonal stimulation tests of the pituitary have been reported to provoke episodes. Treatment of prolactinomas (pituitary adenomas that secrete prolactin) with dopamine agonist drugs, as well as withdrawal of such treatment, has been reported to precipitate apoplexy. [1] [2] [4]
Bromocriptine, originally marketed as Parlodel and subsequently under many brand names, [1] is an ergoline derivative and dopamine agonist that is used in the treatment of pituitary tumors, Parkinson's disease, hyperprolactinaemia, neuroleptic malignant syndrome, and, as an adjunct, type 2 diabetes.
Prolactin (PRL), also known as lactotropin and mammotropin, is a protein best known for its role in enabling mammals to produce milk. It is influential in over 300 separate processes in various vertebrates, including humans. [5] Prolactin is secreted from the pituitary gland in response to eating, mating, estrogen treatment, ovulation and ...
Prolactin cells are acidophilic by hematoxylin & eosin stains and, If these cells undergo neoplastic transformation, they will give rise to a prolactinoma, a prolactin-secreting pituitary adenoma. [3] Prolactinoma is a tumor of the pituitary gland that is typically non-cancerous. This disorder is more common in females than males. Although the ...
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