A 55-year-old woman has experienced headaches and visual disturbances for the past 8 months.
A 55-year-old woman has experienced headaches and visual disturbances for the past 8 months. She reports a loss of peripheral vision, particularly on the right side. Additionally, she has had recent unexplained weight gain and irregular menstrual cycles. She denies any history of medication use or chronic illness.
Investigations:
Serum prolactin: Elevated
Visual field test: Bitemporal hemianopia
MRI of the brain: Pituitary adenoma
Thyroid function tests: Normal
Serum cortisol: Elevated at 8 AM
Which is the most likely cause of her presentation?
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