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Because of suprasellar extension, pituitary tumours may interrupt dopamine delivery from the hypothalamus to the pituitary, resulting in loss of inhibition of prolactin release, or the stalk effect. In contrast, tumours that produce growth hormone (GH) may also secrete prolactin in nearly 25% of cases.2 This is a common source of misdiagnosis, as the features of prolactin excess may capture attention while the more subtle features of GH excess go unnoticed