Treatment of prolactinomas in low-income countries

Kruljac, Ivan and Kirigin, Lora Stanka and Strinović, Mateja and Marinković, Jelena and Pećina, Hrvoje Ivan and Čerina, Vatroslav and Stipić, Darko and Vrkljan, Milan (2015) Treatment of prolactinomas in low-income countries. International Journal of Endocrinology, 2015. p. 697065. ISSN 1687-8337

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Purpose. In low-income countries, prolactinomas are difficult to manage with dopamine agonists (DA). We compared the effectiveness of DA in microprolactinomas as a first line treatment and as adjuvant therapy for residual macroprolactinomas treated surgically. ----- Methods. Our retrospective study analyzed 78 patients, 38 with microprolactinomas and 40 with macroprolactinomas. Microprolactinomas were treated with DA. Macroprolactinomas were treated with microsurgical or endoscopic adenomectomies and adjuvant DA. Surgical remission was defined as normoprolactinemia three months postoperatively, and long-term remission as normoprolactinemia at the last control. ----- Results. Surgical remission was achieved in 9 patients (23%). Postsurgical tumor mass was reduced by 50% (34-68). Residual macroprolactinoma size was greater than microprolactinoma size prior to treatment (10 mm versus 4 mm, P < 0.001). Both groups received similar doses of DA. Long-term remission occurred in 68% of microprolactinomas and 43% of macroprolactinomas (P = 0.102). Prolactin (PRL) levels at the last control were similar in both groups (23.1 versus 32.9 mcg/L, P = 0.347). ----- Conclusion. Comparable remission rates and PRL levels were reached in microprolactinomas and macroprolactinomas using similar doses of DA. Although complete tumor resection is the goal of surgery, our study suggests that even partial surgical removal has a role in treatment of prolactinomas since it may enhance the response to DA.

Item Type: Article
Additional Information: Copyright © 2015 Ivan Kruljac et al. This is an open access article distributed under the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Departments: Katedra za internu medicinu
Depositing User: Marijan Šember
Status: Published
Kirigin, Lora StankaUNSPECIFIED
Strinović, MatejaUNSPECIFIED
Marinković, JelenaUNSPECIFIED
Pećina, Hrvoje IvanUNSPECIFIED
Čerina, VatroslavUNSPECIFIED
Date: 2015
Date Deposited: 17 Feb 2016 13:03
Last Modified: 23 Jul 2020 07:44
Subjects: /
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