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催乳素瘤

最后审阅: 6 Oct 2024
最后更新: 22 Jul 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 闭经或月经过少
  • 不育症
  • 溢乳
  • 性欲丧失
  • 勃起功能障碍
  • 视力减退(如颞侧偏盲)
完整详情

其他诊断因素

  • 骨质疏松症
  • 眼肌麻痹
  • 头痛
完整详情

危险因素

  • 遗传易感性(如发生可导致多发性内分泌肿瘤Ⅰ型 [MEN-1] 或家族性孤立性垂体腺瘤 [FIPA] 的突变)
  • 雌激素疗法
  • 男性,30-60 岁
  • 女性,20-50 岁
完整详情

诊断性检查

首要检查

  • 血清催乳素
  • 垂体 MRI 检查
  • 计算机化视野检查
完整详情

治疗流程

持续性治疗

绝经前女性

绝经后妇女

男性

撰稿人

作者

Niamh Martin, MB ChB, PhD, FRCP

Reader in Endocrinology

Imperial Centre for Endocrinology

Department of Metabolism, Digestion and Reproduction

Imperial College London

London

UK

利益声明

NM declares that she has no competing interests.

鸣谢

Dr Niamh Martin would like to gratefully acknowledge Dr Ilan Shimon, the previous contributor to this topic.

利益声明

IS receives consultancy and lecturing fees from Pfizer, Israel, and is an author of a number of references cited in this topic.

同行评议者

Mark Molitch, MD

Professor

Division of Endocrinology

Northwestern University Feinberg School of Medicine

Chicago

IL

利益声明

MM is an author of a number of references cited in this topic.

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