Which physical findings are characteristic of prolactinomas?

Updated: Mar 25, 2018
  • Author: Venkatesh Babu Segu, MD, MBBS, DM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

In women, focus the physical examination on assessment for galactorrhea and the identification of clinical signs of estrogen deficiency.

In men, examine testicular size and consistency, as well as the pattern of hair on the body. Also assess for the rare occurrence of gynecomastia.

In male and female patients, assess visual acuity and visual fields (by the confrontation method) and perform a cranial nerve examination at the bedside to help determine if the tumor has caused any mass effect.


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