Medical and surgical management of microprolactinoma

Update item information
Publication Type Manuscript
School or College School of Medicine
Department Neurosurgery
Creator Couldwell, William T.
Other Author Weiss, Martin H.
Title Medical and surgical management of microprolactinoma
Date 2004
Description A recent report by Colao et al. [1] indicates that a significant proportion of patients harboring prolactinomas treated with cabergoline will have persistence of remission of hyperprolactinemia following withdrawal of the drug. The prolactin and tumor control rates in the study suggest that medical therapy will become increasingly important for the management of all prolactinomas. Currently, surgery remains an option only for those patients in whom medical therapy has failed or in those with microadenomas. The recent results from Colao et al. [1] demonstrated an impressive 70% cure rate following cabergoline treatment of microprolactinomas; these findings are likely to further reduce the number of patients seeking surgical treatment [2]. Several factors, however, must be considered in the determination to use medical therapy for prolactinomas. In addition to control rate, factors such as the patient's medical history, personal preference and the cost of treatment should be considered. The authors have undertaken a simple comparative study of the relative cost and efficacy of medical or surgical management in those patients with microprolactinomas.
Type Text
Publisher Springer
Journal Title Pituitary
Volume 7
Issue 1
First Page 31
Last Page 32
DOI 10.1023/B:PITU.0000044631.89535.48
citatation_issn 1386-341X
Subject Microprolactinoma; Prolactinoma; Cabergolene
Subject LCSH Pituitary gland -- Tumors -- Treatment; Adenoma -- Treatment -- Economic aspects
Language eng
Bibliographic Citation Couldwell, W. T., & Weiss, M. H. (2004). Medical and surgical management of microprolactinoma. Pituitary, 7(1), 1-5.
Rights Management (c) Springer (The original publication is available at
Format Medium application/pdf
Format Extent 260,676 bytes
Identifier ir-main,12609
ARK ark:/87278/s6m33d41
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 704872
Reference URL
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