垂体腺瘤 Pituitary adenoma Adenom der Hypophyse 华中科技大学同济医学院 附属同济医院神经外科 陈旭 TONGJI HOSPITALTONGJI HOSPITAL Case 1 Patient female 31y Amenorrhea galactorrhea and infertility for 5 years P E Ultrasound uterus and appendix Hormone PRL 134 2 ng ml Treatment bromocriptine 2 5mg p o b i d What s the possible diagnosis Case 2 Patient male 34y Sight decreased for 5 months P E Vision L 0 2 R 0 3 Double temporal visual field were lost Eyeground What s the possible diagnosis Case 3 Patient male 61y Sudden heavy headache with sharply sight decreased for one day P E Vision L light perception R 0 1 Left visual field was lost Eyeground Head CT asymmetrical density in saddle area What s the possible diagnosis Diagnosis Diagnosis 诊断思路 B超 定位 子宫 卵巢 垂体 下丘脑 Case 1 Case 2 Case 3 定位 定位 眼科检查眼部 头部 MRI MRI 头部 MRI 垂 体 腺 瘤