Nonsurgical Management of a Patient with Hypopituitarism Secondary to Nonfunctioning Pituitary Macroadenoma: A Case Report

Martino Handoyo, - and Hermina Novida, - (2021) Nonsurgical Management of a Patient with Hypopituitarism Secondary to Nonfunctioning Pituitary Macroadenoma: A Case Report. Indian Journal of Forensic Medicine & Toxicology, 15 (4). pp. 1777-1782. ISSN 0973-9122

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Abstract

Pituitary adenoma is a benign neoplasm of pituitary gland. Pituitary adenoma, particularly a macroadenoma, may produce mass effect symptoms by compressing surrounding tissues. Due to pituitary function as a neuroendocrine organ, pituitary adenoma may also cause multiple endocrine disturbances. The authors report the case of a 39-year-old male patient presenting with chronic headache and history of seizure. MRI imaging revealed pituitary macroadenoma with optic chiasm compression. Further diagnostic workup indicated secondary hypogonadism and adrenal insufficiency. The patient was given hormone replacement therapy and was then advised for surgery, but the patient refused any surgical procedure. Subsequent follow-ups were somewhat difficult due to poor patient adherence. Nevertheless, appropriate management of pituitary adenoma is needed to achieve optimal result.

Item Type: Article
Uncontrolled Keywords: pituitary adenoma, macroadenoma, clinically nonfunctioning, hypopituitarism
Subjects: R Medicine > RC Internal medicine > RC31-1245 Internal medicine
Divisions: 01. Fakultas Kedokteran > Ilmu Penyakit Dalam
Creators:
CreatorsNIM
Martino Handoyo, -UNSPECIFIED
Hermina Novida, -NIDN0012117705
Depositing User: Miftachul Miftachul Mujayanah Mifta
Date Deposited: 12 Jun 2023 11:30
Last Modified: 12 Jun 2023 11:30
URI: http://repository.unair.ac.id/id/eprint/127235
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