Table 1.
Patient | Age (years) | Sex | Presentation | Serum prolactin (ng/mL) | MRI findings | 18F-fallypride tumour uptake (percentage relative to the putamen) | 18F-fallypride tumour uptake (relative to the cerebellum) | 11C-methionine (HS/normal uptake in the cerebellum) | Follow-up |
---|---|---|---|---|---|---|---|---|---|
1 | 69 | Male | Prolactinoma | 1006 | Macroprolactinoma 26 × 20 × 20 mm | 31 | 3,8 | 1,1 | Treatment with cabergoline. Reduction of serum prolactin to 16.0 ng/mL, with no change in tumor size |
2 | 63 | Female | NFPA | 35.3 | Macroadenoma 44 × 25 × 23 mm. Extra-pituitary extension | 120 | 15,4 | 4,1 | The patient had previous surgery and radiotherapy. Cabergoline was initiated at 2 mg/week. The lesion remained stable on MRI |
3 | 27 | Female | Prolactinoma | 470 | Cystic macroprolactinoma 34 × 15 × 14 mm | 30 | 5,6 | 1,4 | Treatment with cabergoline. Reduction in tumor size |
4 | 64 | Male | Prolactinoma | 1447 | Cystic macroprolactinoma 18 × 15 × 15 mm | 18 | 2,3 | 1,6 | Treatment with cabergoline. Normalization of serum prolactin, with no change in tumor size on MRI |
5 | 42 | Male | Prolactinoma | 356 | Cystic macroprolactinoma 27 × 30 × 20 mm | 70 | 11,5 | 3 | Treatment with cabergoline. reduction in tumor size |
6 | 46 | Female | Prolactinoma | 270 | Macroprolactinoma 20 × 20 × 18 mm. Extra-pituitary extension | 12 | 4,1 | 3,8 | The patient underwent surgery due to a poor response to cabergoline |
Clinical data, 18F-fallypride and 11C-methionine uptake and follow-up. NFPA: Nonfunctioning pituitary adenoma; HS: Hotspot; MRI: Magnetic resonance imaging