Alptekin TOSUN, Salih TOSUN²

Hipotiroidizm Ve Galaktoreli Bir Olguda Yalanci Hipofiz Kitlesinin Medikal Tedavi Ile Regresyonu

Hiperprolaktinemi, hipotiroidizm hastalarinda görülebilmektedir. 24 yasinda bayan hasta amenore ve galaktore sikayetleri nedeniyle incelemeye alindi. Hastamizda prolaktin ve TSH degerlerinde artis mevcuttu. Ultrasonografik tetkikteyse tiroiditle uyumlu bulgular izlendi. Bilgisayarli tomografide gland üst konturunda ekspansiyon ve manyetik rezonans görüntülemede (MRG) hipofiz gland boyut ve kontrast fiksasyonunda artis mevcuttu. Medikal tedavi sonrasinda hormon degerlerinde ve MRG’d e gland sinyal intensitesinde normale dönüs saptandi. Geçirilmis tiroidite sekonder gelisen hipotiroidizm hipofizde hücre hiperplazisine neden olarak radyolojik incelemede yalanci adenom izlenimi verebilmektedir. Sonuç olarak primer hipotiroidizm ve hiperprolaktinemili olgularinda hipofiz gland boyutlarinda difüz artis mevcut ise cerrahi veya bromokriptin tedavisi öncesinde tiroid hormon replasmani tedavide ilk basamak olarak uygulanmali ve klinik, laboratuar ve radyolojik olarak takip edilmelidir. Dolayisiyla medikal tedavi bu tip hastalarda yeterli olabildigi göz önünde tutulmalidir

Anahtar Kelimeler:

Hipotiroidizm, hiperprolaktinemi, galaktore, manyetik rezonans görüntüleme

Regression Of Pseudo Hypophysial Mass By Medical Therapy In A Patient With Hypothyroidism And Galactore

amenhorrea and galactorea had investigated. Prolactin and TSH levels were increased in our patient. Ultrasonographic examination revealed thyroiditis. CT examination revealed expansion on superior contour of gland and MRI showed increased size and contrast material fixation. After medical treatment hormone levels and gland signal intensity on MRI back to normal. Hypothyroidism secondary thyroiditis resulted cell hyperplasia and showed pseudoadenoma on radiological examination. In conclusion, on patients with primary hypothyroidism and hyperprolactinemia although hypophysial gland dimensions increased, hormone theraphy have to applied primary before surgery or bromocryptine therapy and pursued by clinical, laboratory and radiological. Therefore medical treatment have considered in this disease

Keywords:

Hypothyroidism, hyperprolactinemia, galactorea, MRI,

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