Regarding prolactinoma in pregnancy, all are true, EXCEPT:
Pituitary adenoma more than 2cm is associated with bad prognosis. Other poor prognostic factors includes high preoperative prolactin levels, increased age and longer duration of amenorrhea. Prolactinomas are prolactin secreting tumours of the pituitary It is a benign tumour It is the commonest pituitary tumor seen in pregnancy. During pregnancy the stimulatory effect of hormonal mileu of pregnancy result in significant enlargement of prolactinoma during pregnancy. Patients with prolactinoma usually presents with amenorrhea, galactorrhea, headache, visual field defect (bitemporal hemianopia) and diabetes insipidus
Most common pituitary tumor but rarely symptomatic
Increase in prolactin levels worse prognosis
Macroadenoma > 1 cm is associated with bad prognosis
Regular visual checkup