Abstract
A man with a prolactin secreting pituitary carcinoma was treated by surgery and radiotherapy. Persistent hyperprolactinaemia partially responded to oral bromocriptine for four years. Serum prolactin then rose considerably with rapid, invasive tumour recurrence. Cytotoxic chemotherapy halted tumour progression for twelve months before fatal spread throughout the brain. Failure to normalise serum prolactin with bromocriptine may precede an aggressive course in patients with prolactinoma.
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- Clayton R. N., Webb J., Heath D. A., Dunn P. J., Rolfe E. B., Hockley A. D. Dramatic and rapid shrinkage of a massive invasive prolactinoma with bromocriptine: a case report. Clin Endocrinol (Oxf) 1985 May;22(5):573–581. doi: 10.1111/j.1365-2265.1985.tb02992.x. [DOI] [PubMed] [Google Scholar]
- Cohen D. L., Diengdoh J. V., Thomas D. G., Himsworth R. L. An intracranial metastasis from a PRL secreting pituitary tumour. Clin Endocrinol (Oxf) 1983 Mar;18(3):259–264. doi: 10.1111/j.1365-2265.1983.tb03210.x. [DOI] [PubMed] [Google Scholar]
- Cunnah D., Besser M. Management of prolactinomas. Clin Endocrinol (Oxf) 1991 Mar;34(3):231–235. doi: 10.1111/j.1365-2265.1991.tb00299.x. [DOI] [PubMed] [Google Scholar]
- Gasser R. W., Finkenstedt G., Skrabal F., Twerdy K., Grunert V., Mayr U., Frommhold H., Zur Nedden D., Feichtinger J., Hofstaedter F. Multiple intracranial metastases from a prolactin secreting pituitary tumour. Clin Endocrinol (Oxf) 1985 Jan;22(1):17–27. doi: 10.1111/j.1365-2265.1985.tb01060.x. [DOI] [PubMed] [Google Scholar]
- Grossman A., Besser G. M. Prolactinomas. Br Med J (Clin Res Ed) 1985 Jan 19;290(6463):182–184. doi: 10.1136/bmj.290.6463.182. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KING A. B. The diagnosis of carcinoma of the pituitary gland. Bull Johns Hopkins Hosp. 1951 Nov;89(5):339–353. [PubMed] [Google Scholar]
- Martin N. A., Hales M., Wilson C. B. Cerebellar metastasis from a prolactinoma during treatment with bromocriptine. J Neurosurg. 1981 Oct;55(4):615–619. doi: 10.3171/jns.1981.55.4.0615. [DOI] [PubMed] [Google Scholar]
- Muhr C., Bergström M., Lundberg P. O., Hartman M., Bergström K., Pellettieri L., Långström B. Malignant prolactinoma with multiple intracranial metastases studied with positron emission tomography. Neurosurgery. 1988 Feb;22(2):374–379. doi: 10.1227/00006123-198802000-00017. [DOI] [PubMed] [Google Scholar]
- Popovic E. A., Vattuone J. R., Siu K. H., Busmanis I., Pullar M. J., Dowling J. Malignant prolactinomas. Neurosurgery. 1991 Jul;29(1):127–130. doi: 10.1097/00006123-199107000-00023. [DOI] [PubMed] [Google Scholar]
- Scheithauer B. W., Randall R. V., Laws E. R., Jr, Kovacs K. T., Horvath E., Whitaker M. D. Prolactin cell carcinoma of the pituitary. Clinicopathologic, immunohistochemical, and ultrastructural study of a case with cranial and extracranial metastases. Cancer. 1985 Feb 1;55(3):598–604. doi: 10.1002/1097-0142(19850201)55:3<598::aid-cncr2820550320>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
- U H. S., Johnson C. Metastatic prolactin-secreting pituitary adenoma. Hum Pathol. 1984 Jan;15(1):94–96. doi: 10.1016/s0046-8177(84)80339-1. [DOI] [PubMed] [Google Scholar]