Hyperprolactinemia test pictures

The purpose of analyzing the examination methods of hyperprolactinemia is to help everyone actively diagnose this disease, and then help everyone actively treat it. So what are the examination methods for hyperprolactinemia? The following are professional answers given by experts, let us give professional answers.

Hyperprolactinemia test method:

1. Sella turcica computed tomography (CT) examination shows that the anterior-posterior diameter of the sella turcica in normal women is <17mm, the depth is <13mm, the area is <130mm2, and the volume is <1100mm3. CT should be performed if the following images are present: ① sailboat-shaped enlargement; ② double sella turcica bottoms or double edges; ③ high/low density areas or inhomogeneity within the sella turcica; ④ plate deformation; ⑤ suprasellar calcifications; ⑥ anterior and posterior clinoid osteoporosis; ⑦ cavitation within the sella turcica; ⑧ bone destruction.

2. Magnetic resonance imaging (MRI), cavernous sinus angiography, pneumoencephalography, and cerebral angiography can determine the location and size of the tumor and help differentiate it from other intracranial lesions. Since the false positive and false negative rates of CT diagnosis are 20% and the accuracy rate is only 61%, MRI is recommended for diagnosis.

3. Ophthalmological examination includes visual acuity, visual field, intraocular pressure, and fundus examination to determine whether there are signs of intracranial tumor compression (bitemporal visual field hemianopsia, decreased vision, blindness, nausea, vomiting, and headache, etc.).

4. Thyroid, adrenal and pancreatic function tests: When hyperprolactinemia is combined with hypothyroidism, TSH is elevated, and T3, T4, and PBI are decreased. When hyperprolactinemia is combined with Cushing's disease and virilization symptoms, testosterone (T), androstenedione (△4dione), dihydrotestosterone (DHT), dehydroepiandrosterone (DHEA), 17-ketosteroids (17KS) and plasma cortisol are elevated. When hyperprolactinemia is combined with diabetes and acromegaly, plasma insulin, blood glucose, glucagon should be measured and a glucose tolerance test should be performed.

The above-mentioned hyperprolactinemia examination method is more common in professional hospitals. After mastering the hyperprolactinemia examination method, everyone is required to go to a professional hospital to treat this disease in order to restore everyone's health to the greatest extent.