Pituitary Mass: Avoidable Mistakes and Essential- Reflexes Lessons Learned from a Clinical Case

Abstract

Pituitary masses require Standardized and medecine evidence-based management to prevent misdiagnosis and inappropriate management.This case describes a 41-year-old female presenting with depressive symptoms, hyperprolactinemia,a pituitary mass with visual impairment, initially misdiagnosed as a macroprolactinoma. The patient was initially referred for surgery; however, further investigations revealed severe primary hypothyroidism with secondary pituitary hyperplasia. Following thyroid hormone replacement therapy, the pituitary mass regressed, and symptoms resolved. This case highlights the importance of thorough evaluation and identifying reversible causes before proceeding with surgical interventions, thereby avoiding unnecessary procedures and associated risks.