A 23-year-old man presented with galactorrhea and elevated prolactin levels in 1997. The patient was treated with bromocriptine. Serial MRI scans showed a slowly increasing lesion of the left anterior portion of the adenohypophysis, measuring 5X8X8mm at the most recent scan. The prolactin level had recently been increasing from the 50-60 range to 160. The patient had no other endocrine abnormalities.
he patient was taken to the operating room for transsphenoidal resection (selective adenectomy) of the pituitary lesion. The upper lip was retracted with stay sutures and the oral mucosa in the upper labial recess was incised. A submucosal plane along the left side of the nasal septum was developed up to the inferior wall of the sphenoid sinus.
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