rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
4
|
pubmed:dateCreated |
2000-11-30
|
pubmed:abstractText |
We report a case of acromegaly with relatively low GH secretion in a patient with GH-secreting pituitary macroadenoma. The 44-year-old male patient presented with left temporal hemianopsia and characteristic acromegalic face, but had relatively low baseline and post-glucose GH levels. IGF-1 and IGFBP-1 were elevated. Transsphenoidal surgery did not achieve clinical or biochemiacl remission, and the patient still had elevated IGF-1 levels with low GH. Histological examination of the resected tumor revealed a pituitary adenoma stained weakly for GH. The patient was treated then with monthly injections of Sandostatin-LAR, with clinical improvement and suppression of IGF-I to the normal range. This is a rare case of acromegaly without elevated GH levels, and good response to treatment with somatostatin analog, as expected in classical GH-secreting pituitary adenomas.
|
pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
IM
|
pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
1386-341X
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
2
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
289-94
|
pubmed:dateRevised |
2008-11-21
|
pubmed:meshHeading |
pubmed-meshheading:11081151-Acromegaly,
pubmed-meshheading:11081151-Adenoma,
pubmed-meshheading:11081151-Adult,
pubmed-meshheading:11081151-Antineoplastic Agents, Hormonal,
pubmed-meshheading:11081151-Human Growth Hormone,
pubmed-meshheading:11081151-Humans,
pubmed-meshheading:11081151-Immunohistochemistry,
pubmed-meshheading:11081151-Insulin-Like Growth Factor Binding Protein 3,
pubmed-meshheading:11081151-Insulin-Like Growth Factor I,
pubmed-meshheading:11081151-Magnetic Resonance Imaging,
pubmed-meshheading:11081151-Male,
pubmed-meshheading:11081151-Octreotide,
pubmed-meshheading:11081151-Pituitary Neoplasms,
pubmed-meshheading:11081151-Prolactin,
pubmed-meshheading:11081151-Vision, Ocular
|
pubmed:year |
2000
|
pubmed:articleTitle |
Acromegaly with normal growth hormone levels: response to Sandostatin-LAR treatment.
|
pubmed:affiliation |
Institute of Endocrinology, Chaim Sheba Medical Center, Tel-Hashomer, Israel. i_shimon@netvision.net.il
|
pubmed:publicationType |
Journal Article,
Case Reports
|