Prolactinoma is an adenoma arising from the lactotroph cells of the pituitary gland that secrete prolactin. It is considered the most commonly diagnosed pituitary tumor and accounts for about 40% of all pituitary tumors. This study discusses a female patient suffering from prolactinoma with manifestations of amenorrhea and infertility. According to an MRI examination, the patient had a tumor with signs of apoplexy measuring ± 2.7 x 1.5 x 1.9 cm in the intrasellar, extending to the suprasellar. On the other hand, an examination indicated that the prolactin serum level of the patient was > 200 ng/ml (increased). The patient had consulted a neurosurgeon for consideration of surgery due to the large size of the prolactinoma, but the patient temporarily refused surgery.
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