A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic chiasm. Prolactin is 680 mIU/L (reference range 100–500), without galactorrhoea, and the remaining pituitary assessment is pending. Which management is most appropriate now?
Keep going — a set of ten like this one, one at a time.
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