垂体催乳素瘤的临床诊断和治疗

Clinical diagnosis and management of prolactinoma

催乳素瘤是垂体最常见的肿瘤，也是高催乳素血症的病因之一。鉴别诊断有时比较困难，需要胃复安或促甲状腺素释放激素刺激试验结果作参考。垂体催乳素瘤现在首选溴隐亭治疗，在特定情况下，还有其它药物、手术和放射治疗可选择。

Prolactinoma is the most adenoma of pituitary gland, which causes hyperprolactinemia. Differential diagnosis for hyperprolactinemia may sometimes become difficult. The stimulating test with metoclopramide or thyrotropin-releasing hormone helps. Bromocriptine is the first choice to treat prolactinoma. Other medicaments, surgery and radiation are also of choice under certain particular conditions.