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Nonfunctional pituitary macroadenoma manifested as muscular symptoms
Authors:Matsubara Akio  Tamura Aki  Matsumura Syunji  Yokoya Hitoshi  Maruyama Satoshi  Kobayashi Kanao  Kawamoto Yukihiko  Teishima Jun  Seki Mitsuhiro  Usui Tsuguru
Affiliation:Department of Urology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. matsua@hiroshima-u.ac.jp
Abstract:A 75-year-old man with a large pituitary adenoma presented with general muscular weakness, including difficulty in rising in the morning and forceless defecation and urination, and muscular pain, numbness and atrophy in the shoulder, neck and thigh. Testosterone replacement and subsequent resection of the pituitary tumor resulted in resolution of the symptoms. The value of pituitary imaging tests for men with hypogonadotropic hypogonadism is discussed.
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