Treatment of Large Macroadenomas
Large macroadenomas first line of
treatment includes Dopamine Receptor Agonists such as Cabergoline and
Bromocriptine.
With this treatment,the size of
the tumor decreases rapidly over a
course of few days.
The patient”s vision also improves
significantly.
After the treatment has been
initiated with Dopamine receptor agonists,the patients should be closely
monitored by assessing the following:
Visual fields Evaluation
Clinical symptoms
Prolactin levels
MRI of pituitary gland.
Clinical features of Macroadenoma includes:
Visual field defects due to
compression of optic chiasm and visual pathways
Hypogonadism and Hypopituitarism
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