INTRACRANIAL DISSEMINATION OF A MACROPROLACTINOMA

被引:25
作者
ASSIES, J
VERHOEFF, NPLG
BOSCH, DA
HOFLAND, LJ
机构
[1] UNIV AMSTERDAM,ACAD MED CTR,DEPT PSYCHIAT,1105 AZ AMSTERDAM,NETHERLANDS
[2] UNIV AMSTERDAM,ACAD MED CTR,DEPT NUCL MED,1105 AZ AMSTERDAM,NETHERLANDS
[3] UNIV AMSTERDAM,ACAD MED CTR,DEPT NEUROSURG,1105 AZ AMSTERDAM,NETHERLANDS
[4] ERASMUS UNIV ROTTERDAM,HOSP DIJKZIGT,DEPT INTERNAL MED 3,ROTTERDAM,NETHERLANDS
关键词
D O I
10.1111/j.1365-2265.1993.tb00351.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with a macroprolactinoma and extrasellar extension was treated by incomplete transfrontal surgery, external irradiation and additional bromocriptine (Br) treatment. After 4 years, partial bromocriptine resistance developed (a rare occurrence) together with the appearance of intracranial metastases. I-123-Iodobenzamide was helpful in evaluating the dopamine D2 receptor status of the metastatic tumour both in vivo using single-photon emission computed tomography (SPECT) and in vitro. Prolactin release by the cultured metastatic tumour cells was more potently inhibited by CV 205-502 than by bromocriptine. The patient, treated by surgery, irradiation and CV 205-502, developed a ptosis of the left eye and a transient psychiatric delusional state, the latter probably an effect of the dopamine agonist. As the right frontal metastasis was markedly positive on SPECT with In-111-SMS, somatostatin treatment was added to the CV 205-502.
引用
收藏
页码:539 / 546
页数:8
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