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  • Title: Evaluation of the pituitary. Patients with suspected prolactin-producing tumors.
    Author: Swanson JA, Jacoby CG, Sherman BM, Dolan KD, Chapler FK.
    Journal: Obstet Gynecol; 1978 Jul; 52(1):67-72. PubMed ID: 567309.
    Abstract:
    We have reviewed our experience in the radiographic and ophthalmologic evaluation of 1001 patients with symptoms suggesting the presence of a pituitary, prolactin-secreting adenoma. Twenty-seven patients had abnormal or suspicious radiographic examination of the sella turcica. Twenty-two of those had hyperprolactinemia. In only one instance was an abnormality noted on polytomography that was not seen on a conventional four-view study of the skull. Based on these findings, a four-view plain conventional radiographic assessment of the skull suffices as a screening procedure in patients with amenorrhea, galactorrhea, or both. Thin section tomography should be reserved to more thoroughly evaluate those patients with elevated serum prolactin concentrations and/or abnormal conventional radiographs. We found visual field testing to be of little value as an initial screening procedure in these patients.
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