Growth hormone secreting pituitary carcinoma: a case report and literature review.

Abstract:

:Only five cases of growth hormone secreting pituitary carcinoma have been documented. We present a 49-year-old West Indian male with grossly elevated plasma growth hormone (760-10,400 mU/l), and a large aggressive pituitary tumour that continued to grow despite repeated pituitary surgery, radiotherapy and medical therapy (bromocriptine and somatostatin analogue). Thirteen years after diagnosis the patient died secondary to left ventricular failure. A post-mortem revealed a large locally invasive pituitary tumour, but in addition numerous tumour seedlings within the cerebrospinal fluid space, and a solitary intraparenchymal tumour deposit within the right temporal lobe, clearly separate from the primary tumour. Pituitary carcinoma should be considered in any acromegalic with grossly elevated plasma growth hormone levels who fails to respond to conventional therapy.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Stewart PM,Carey MP,Graham CT,Wright AD,London DR

doi

10.1111/j.1365-2265.1992.tb02306.x

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

189-94

issue

2

eissn

0300-0664

issn

1365-2265

journal_volume

37

pub_type

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