Table 1.
Baseline characteristics of patients with giant prolactinoma prior to treatment.
Case no | Age (years) | Gender | Race | Presenting symptoms | Initial PRL (μg/L) | Preoperative central hormone deficit(s)† | Largest tumor dimension (cm) | Initial tumor volume (cm3)† |
---|---|---|---|---|---|---|---|---|
1 | 38 | Male | White | Headache, weakness, visual deficit, behavior changes | N/A–not evaluated∗ | N/A–not evaluated∗ | 5 | 40.0 |
2 | 53 | Male | White | Weakness, visual deficit, ophthalmoplegia, behavior changes | 3,482 | Hypogonadism, hypothyroidism, adrenal insufficiency | 7.7 | 109.3 |
3 | 20 | Female | Black | Secondary amenorrhea, headache, visual deficit | 1,111 | Hypogonadism, hypothyroidism, adrenal insufficiency | 6 | 27.3 |
4 | 39 | Male | Black | Headache, weakness, visual deficit, ophthalmoplegia, behavior changes, low libido | 2,498 | Hypogonadism | 4.6 | 22.8 |
5 | 26 | Male | White | Headache, visual deficit, ophthalmoplegia, low libido | 686 | Hypogonadism | 5.9 | 31.0 |
6 | 33 | Male | White | Galactorrhea, headache, visual deficit, low libido | >13,000 | Hypogonadism | 5 | 30.6 |
7 | 47 | Male | White | Headache, ophthalmoplegia, behavior change, memory loss | ∼100ǂ | N/A–not evaluated | 9 | N/A–unavailable |
8 | 51 | Female | Black | Visual deficit, low libido | 11,477 | Hypogonadism | 6 | 46.5 |
†Growth hormone deficiency was not tested in any patient. ∗Patient declined preoperative blood evaluation. ǂExact value unavailable, serial dilution was not performed, falsely low prolactin level was consistent with hook effect. †Tumor volume calculated using geometric formula, volume = ½ (L × W × H). PRL (prolactin).