Pregnancies in Women With Dopamine Agonist-Resistant Macroprolactinomas
Bibliographic record
Abstract
The symptomatic enlargement of macroprolactinomas during pregnancy is a concern. Bromocriptine has been used to reverse any symptomatic changes. This intervention may not be successful with dopamine-resistant macroadenomas. We are not aware of any report of the outcome of a pregnancy in such women. New mass symptoms in pregnancy reflect an increase in the tumor mass and/or the physiologic increase in size of the normal pituitary. The latter should maintain responsiveness to the effect of bromocriptine, and thus on the mass symptoms. We report 3 pregnancies in 2 women with treatment-resistant macroprolactinomas, who successfully achieve and complete pregnancy. The second case includes a unique report of clinical response of mass symptoms to bromocriptine during pregnancy in the presence of a resistant macroprolactinoma. It is possible that it is the normal pituitary, and not the tumor, that enlarges during pregnancy and precipitates the mass symptoms. Women with dopamine agonist-resistant macroprolactinomas may be able to be treated if needed and, thus, may undergo a successful pregnancy.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".