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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1399-1406 November 9, 2000 Number 19
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Case 34-2000— A 71-Year-Old Woman with an Enlarging Pituitary Mass
Joseph R. Madsen, and Diane Karluk

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Presentation of Case

A 71-year-old woman was admitted to the hospital because of a pituitary mass.

During the five years before admission, the patient had been tired and anorectic, her joints had ached, and her neck and shoulders had become stiff. A diagnosis of polymyalgia rheumatica had been made, and she had refused to take prednisone. She had become depressed after the death of her husband 12 years before admission. Because she frequently traveled within the United States to visit her daughters, her medical care was fragmented and inconsistent. Laboratory tests performed six years before admission showed hyperlipidemia, with normal thyroid function. The . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joseph R. Madsen's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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