Question

A 45-year-old woman presents with new-onset severe headache, visual changes, and galactorrhea. Prolactin level is markedly elevated, and MRI shows a 1.5-cm pituitary macroadenoma compressing the optic chiasm. What is the most appropriate initial treatment?

Accepted Answer

Dopamine agonist therapy

Answer

Transsphenoidal surgical resection

Answer

Radiation therapy

Answer

Observation with repeat MRI in 6 months

Answer

High-dose glucocorticoids

Practice question

A 45-year-old woman presents with new-onset severe headache, visual changes, and galactorrhea. Prolactin level is markedly elevated, and MRI shows a 1.5-cm pituitary macroadenoma compressing the optic chiasm. What is the most appropriate initial treatment?