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Medicine General 140058ea

A young women with secondary amenorrhea and galactorrhea. MRI shows a tumour of < lOmm diameter in the pituitary fossa. Treatment is:

A
Hormonal therapy for withdrawal bleeding
B
Radiotherapy
C
Chemotherapy
D
Bromocriptine
High-Yield Explanation
Answer is D (Bromocriptine): Secondary Amenorrhea and galactorrhea in a young women with evidence of microadenoma (tumor I Omm) in the pituitary fossa suggest a diagnosis of prolactinoma. Oral dopamine agonists (Dopamine or Cabergoline) are the treatment of choice for patients with prolactinomas.

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