Conversation: The conversation between human and AI assistant.
[|Human|] i m a clinical social worker. 14 year old client has micradenoma on or near pituitary gland. Some hormone levels were elevated but she was examined by neurologist and no surgery necessary they say. Has all kinds of symptoms -- racing thoughts, visual hallucinations at times, out of control anxiety, rage outbursts, trouble reasoning and little access to insight, preoccupied about her body and somatic complaints, defiance. However she doesn t really seem bipolar or schizophrenic, though she was Dx d bipolar. I don t think it looks psychiatric, it seems so odd and doesn t add up to any one Dx. Neurologists told parents the tumor had nothing to do wiht any of this, what do you think??
[|AI|]  Hello, Fibroadenoma may produce hormones that may cause a constellation of disturbances for the patient including mood changes. I think that the case should be evaluated from a Neurosurgeon and a consultation with an Endocrinologist is necessary. If the fibroadenoma is responsible for the hormonal changes and subsequent mood problems it should be removed surgically. Hope I have answered your query. Let me know if I can assist you further.