A patient with a known history of lung cancer presents with progressive fatigue, weight gain, cold intolerance, decreased libido, and generalized weakness. Laboratory investigations reveal low levels of ACTH, TSH, LH, FSH, and growth hormone. MRI of the brain shows a sellar mass consistent with a pituitary tumor. There is no evidence of hormone hypersecretion. What is the most likely diagnosis?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
غير محسوم. ملفات الدفعة ما تحسم إجابة هذا السؤال، فما نخمّن. التفاصيل تحت.
The cohort's pituitary sources do not cover pituitary metastasis or pituitary carcinoma, so the lung-cancer clue in the stem cannot be checked against them. They only say that non-secretory macroadenomas are the most common cause of hypopituitarism in adults, and that LH/FSH/GH are usually lost before TSH and ACTH. The old bank's answer of metastasis (C) fits the known primary tumour and the widespread loss of hormones, but no source here confirms it, and the original key was recorded as 'IDK'.
- المحاضرة
- Pituitary Disorders · Endocrinology · Module B
- ظهر في
- MED43 ♀ Quiz B