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Nonfunctioning pituitary macroadenoma: a case report from the patient perspective.
Craig A Bauman1, James D Milligan1, Tammy Labreche2
1Department of Family Medicine, McMaster University, Hamilton, ON Canada ; The Centre for Family Medicine Family Health Team, 25 Joseph Street, Kitchener, ON Canada N2G 4X6.
Chiropractic & Manual Therapies
|April 13, 2016
Summary
Nonfunctioning pituitary macroadenoma (NFPA) is a benign tumor that can be hard to detect. This case highlights symptoms like reduced athletic performance and low libido, leading to diagnosis.
Area of Science:
- Endocrinology
- Oncology
Background:
- Nonfunctioning pituitary macroadenoma (NFPA) is a benign tumor of the endocrine system.
- NFPA can be challenging to diagnose due to its often asymptomatic nature.
Purpose of the Study:
- To present a case report from the patient's perspective.
- To highlight the diagnostic journey of a nonfunctioning pituitary macroadenoma.
Main Methods:
- A 48-year-old male presented with a five-year history of unexplained reduced athletic performance.
- Symptoms included decreased libido, prompting testosterone testing.
- Endocrinology referral and pituitary MRI revealed a macroadenoma.
Main Results:
- The patient's symptoms of reduced athletic performance and decreased libido were linked to a pituitary mass.
- Common NFPA symptoms include visual defects, headaches, and hypopituitarism.
Conclusions:
- Clinicians should consider NFPA in middle-aged athletes with unexplained performance decline.
- Evaluation should include visual field testing and assessment for headaches and hypopituitarism.
