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From the Department of Obstetrics and Gynecology at University of Colorado School of Medicine, Denver, Colorado.
Thirty-four cases of pituitary tumor in women have been analyzed. These include all female patients in whom this diagnosis has been made over the last 20 years at the participating hospitals. Tabulation of the patients' clinical course and laboratory data indicate that menstrual abnormality is the most frequently encountered symptom in the premenopausal age group with visual disturbance and headache also frequently seen. Lactation is also a common symptom and dynamic studies of prolactin secretion should facilitate diagnosis. Aside from growth hormone, the other parameters of pituitary function usually remain intact until late in the course of the disease. It is of primary importance for the gynecologist to obtain an x-ray for sella tunica size in patients with oligomenorrhea.
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