A case of TSH-secreting pituitary adenoma with cyclic fluctuations in serum TSH levels
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چکیده
منابع مشابه
A Case of Thyrotropin-Secreting Pituitary Adenoma (TSH-oma)
Thyrotropin-secreting pituitary adenomas (TSHomas) are rare tumors and represent about 1-2% of all pituitary adenomas (prevalence is about one case per million) and cause secondary or central hyperthyroidism. The number of reported cases of TSH-omas tripled in the last decade. The increased number of reported cases resulted principally from the introduction of ultrasensitive immunometric assay ...
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UNLABELLED TSH-secreting pituitary adenomas are rare and the optimal investigation and management is uncertain. We describe a case of a 43 year-old woman with a TSH-secreting pituitary adenoma, highlighting diagnostic testing and our use, pre-operatively of somatostatin analogue therapy, which induced biochemical euthyroidism and a reduction in tumour size. LEARNING POINTS The differential di...
متن کاملTSH-Secreting Pituitary Adenoma: Current Management and Review.
The neurosurgical literature contains little information about the current management of patients with thyroid-stimulating hormone (TSH)-secreting pituitary adenomas or about the usefulness of the somatostatin analogue octreotide in such cases. While TSH-secreting pituitary adenomas are rare, our review and illustrative case demonstrate the effectiveness of pretreating patients with octreotide ...
متن کاملShort-term preoperative octreotide treatment for TSH-secreting pituitary adenoma.
Preoperative control of hyperthyroidism in patients with TSH-secreting pituitary adenomas (TSHoma) may avoid perioperative thyroid storm. Perioperative administration of octreotide may control hyperthyroidism, as well as shrink tumor size. The effects of preoperative octreotide treatment were assessed in a large number of patients with TSHomas. Of 81 patients who underwent surgery for TSHoma at...
متن کاملA Case of a TSH-secreting Pituitary Adenoma Associated with Evans' Syndrome.
We present a case of a TSH-secreting pituitary adenoma (TSHoma) associated with Evans' syndrome. A 30-year-old woman was referred to our hospital due to purpura and ecchymoses on her limb and body and epistaxis. Evans' syndrome was diagnosed based on idiopathic thrombocytopenic purpura and autoimmune hemolytic anemia. She had a history of malocclusion and thyroid gland enlargement 4 years prior...
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ژورنال
عنوان ژورنال: Endocrine Journal
سال: 2018
ISSN: 0918-8959,1348-4540
DOI: 10.1507/endocrj.ej18-0006