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Evidence checklist

Prolactinoma (Pituitary Adenoma)

DC 791638 CFR § 4.119Endocrine

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Endocrinology treatment records (dopamine agonist therapy)Critical

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

Private provider · independent opinion
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.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
Serum prolactin level (elevated)Critical

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

Imaging or lab facility · records request
Pituitary MRI documenting microadenoma or macroadenomaCritical

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

Imaging or lab facility · records request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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