PROLACTIN-SECRETING PITUITARY-ADENOMA IN A MAN WITH GIGANTISM - CASE-REPORT

被引:2
作者
PEILLON, F [1 ]
PHILIPPON, J [1 ]
BRANDI, AM [1 ]
FOHANNO, D [1 ]
LAPLANE, D [1 ]
DUBOIS, MP [1 ]
DECOURT, J [1 ]
机构
[1] CTR HOSP UNIV PITIE SALPETRIERE,MALAD SYST NERVEUX CLIN,F-75634 PARIS 13,FRANCE
来源
ACTA ENDOCRINOLOGICA | 1979年 / 92卷 / 04期
关键词
D O I
10.1530/acta.0.0920627
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A prolactin-secreting pituitary adenoma was removed trans-sphenoidally from a 37 years old man with gigantism (218 cm). Serum levels of prolactin (PRL) were elevated pre-operatively and decreased after administration of L-Dopa with no increase after TRH as is usually observed in PRL-secreting adenomas. Growth hormone (GH) and somatomedin serum levels were normal with no modification of GH after insulin hypoglycaemia, oral glucose loading or L-Dopa. Morphological examination of the tumour demonstrated the presence of lactotrophs by light and electron microscopy and by immunofluorescense staining. No somatotrophs were found. In this unique case, the relationship between a PRL-secreting adenoma and gigantism is discussed.
引用
收藏
页码:627 / 639
页数:13
相关论文
共 26 条
[1]  
DEROME PJ, 1979, NOUV PRESSE MED, V8, P577
[2]  
DUBOIS MP, 1971, CR ACAD SCI D NAT, V272, P433
[3]  
FRANCHIMONT P, 1968, P INT S PROTEIN POLY, P99
[4]   HISTOLOGIC, ULTRASTRUCTURAL, AND HORMONAL CHARACTERIZATION OF A PITUITARY TUMOR SECRETING BOTH HGH AND PROLACTIN [J].
GUYDA, H ;
ROBERT, F ;
COLLE, E ;
HARDY, J .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1973, 36 (03) :531-547
[5]  
HAIGLER ED, 1973, ARCH INTERN MED, V132, P588
[6]   INCREASE OF SERUM GROWTH-HORMONE CONCENTRATION FOLLOWING THYROTROPIN-RELEASING HORMONE INJECTION IN PATIENTS WITH ACROMEGALY OR GIGANTISM [J].
IRIE, M ;
TSUSHIMA, T .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1972, 35 (01) :97-+
[7]  
JACOBS LS, 1973, HUMAN PROLACTIN, P189
[8]  
KARAM J, 1971, ANN BIOL CLIN-PARIS, V29, P383
[9]   GALACTORRHEA - STUDY OF 235 CASES, INCLUDING 48 WITH PITUITARY TUMORS [J].
KLEINBERG, DL ;
NOEL, GL ;
FRANTZ, AG .
NEW ENGLAND JOURNAL OF MEDICINE, 1977, 296 (11) :589-600
[10]   ANDROGEN PRODUCTION AND SKIN METABOLISM IN HIRSUTISM [J].
KUTTENN, F ;
MOWSZOWICZ, I ;
SCHAISON, G ;
MAUVAISJARVIS, P .
JOURNAL OF ENDOCRINOLOGY, 1977, 75 (01) :83-91