Evidence Checklist: Prolactinoma (Pituitary Adenoma)

Endocrinology treatment records (dopamine agonist therapy)Critical

Records documenting cabergoline or bromocriptine therapy, response, and any visual field defects from macroadenoma.

Nexus opinion linking prolactinoma to service (e.g., head trauma)Critical

Medical opinion connecting pituitary adenoma to in-service head trauma or other service event.

Serum prolactin level (elevated)Critical

Laboratory result documenting hyperprolactinemia — prolactin typically >200 ng/mL confirms prolactinoma vs. other causes.

Pituitary MRI documenting microadenoma or macroadenomaCritical

MRI identifying the prolactin-secreting pituitary adenoma and its size.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.