An 18-year-old girl presents with amenorrhoea, milk discharge, weight loss. Diagnosis is: (A) Pituitary Cancer, (B) Anorexia nervosa, (C) Hypothyroidism, (D) Hypothalamic cause
Answer is A. Its tempting here to go for Hypothyroidism but that is usually associated with weight gain. However, pituitary tumors and craniopharyngiomas can cause increase in PRL and consequent galactorrhea , weight loss attributed then to the malignant process. Ref - Harrison 20e pg2673