A 30-year-old female has experienced amenorrhea and progressive loss of vision for four years. Physical examinations were normal except bitemporal hemianopsia revealed by ophthalmic examination. Preoperative neuroendocrine examinations showed a mild hyperprolactinemia of 72.3ng/ml (normal range, 2.8 ng/ml-29.2 ng/ml). MRI scan revealed a 31 mm × 34 mm × 31 mm well-circumscribed roundness mass in the suprasellar region, with intermediate signal intensity on T1-weighted images, intermediate to slightly increased signal intensity on T2-weighted images, and homogeneous enhancement with gadolinium administration with obviously homogeneous enhancement after gadolinium administration.
What can be the diagnosis for this patient? What should be the further treatment strategy? *This case is from Docplexus Editorial Team for educative purpose only.
