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Another 14-year-old girl developed precocious galactorrhea due to macroprolactinoma, which was medically managed. Several years later, she re-presented with acute, severe, bitemporal hemianopia during her third trimester of pregnancy, requiring emergent induction of labor followed by TSR. A 13-year-old boy was incidentally diagnosed with a prolactinoma after routine orthodontic radiographs captured a subtly abnormal sella. An 18-year-old male self-diagnosed pituitary gigantism through a school report on pituitary disease. A 17-year-old boy was diagnosed with Cushing disease by his basketball coach, a former endocrinologist. A 12-year-old girl with growth arrest and weight gain was diagnosed with Cushing disease, which was initially treated via TSR but subsequently recurred and ultimately required 12 operations, 5 radiation treatments involving 3 modalities, bilateral adrenalectomy, and chemotherapy. Despite these efforts, she ultimately died from pituitary carcinoma.<\/jats:p>","DOI":"10.3171\/2019.7.peds1950","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T07:42:41Z","timestamp":1571470961000},"page":"43-50","source":"Crossref","is-referenced-by-count":2,"title":["Extraordinary case presentations in pediatric pituitary adenoma: report of 6 cases"],"prefix":"10.3171","volume":"25","author":[{"given":"Jenna","family":"Meyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avital","family":"Perry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soliman","family":"Oushy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Graffeo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas P.","family":"Carlstrom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredric B.","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1227\/00006123-199907000-00001","article-title":"Growth hormone-secreting pituitary adenomas in childhood and adolescence: features and results of transnasal surgery","volume":"45","author":"Abe T","year":"1999","unstructured":"Abe T, Tara LA, L\u00fcdecke DK: Growth hormone-secreting pituitary adenomas in childhood and adolescence: features and results of transnasal surgery. 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