Impact of menopause on outcomes in prolactinomas after dopamine agonist treatment withdrawal.

Abstract:

OBJECTIVE:Discontinuation of dopamine agonist (DA) treatment in women with prolactinoma after menopause is a potential approach; studies systematically assessing long-term outcomes are lacking. Our aim was to investigate the natural history of prolactinoma in this group. DESIGN/PATIENTS:Retrospective cohort study of women with prolactinoma diagnosed before menopause and who after menopause were not on DA. RESULTS:Thirty women were included. Twenty-eight received DA (median duration 18 years, median age at DA withdrawal 52 years). At last assessment (median follow-up 3 years) and compared with values 6-12 months after stopping DA, Prolactin (PRL) increased in 15%, decreased but not normalized in 33% and was normal in 52%; PRL levels or visible adenoma on imaging before DA withdrawal, treatment duration and presence of macro-/microadenoma at diagnosis were not predictors of normoprolactinaemia at last review, whereas PRL values 6-12 months after stopping DA were. Adenoma regrowth was detected in 2/27 patients (7%), who showed gradual increase in PRL. Comparison with 28 women who had DA withdrawal before their menopause revealed lower risk of hyperprolactinaemia recurrence in the postmenopausal group (HR:0.316, 95% CI: 0.101-0.985, P < .05). Two women with microprolactinoma diagnosed in perimenopausal period had not been offered DA; PRL decreased (but not normalized) during observation of 1 and 8 years. CONCLUSIONS:Prolactin normalized over time in nearly half of the women and serum PRL 6-12 months after DA withdrawal is useful predictor. Nonetheless, 7% of the patients demonstrated adenoma regrowth which, given the life expectancy postmenopause, necessitate regular monitoring of the cases with persistent hyperprolactinaemia.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Santharam S,Fountas A,Tampourlou M,Arlt W,Ayuk J,Gittoes N,Toogood A,Karavitaki N

doi

10.1111/cen.13765

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

346-353

issue

3

eissn

0300-0664

issn

1365-2265

journal_volume

89

pub_type

杂志文章
  • Peroxisome proliferator-activated receptor gamma agonism modifies the effects of growth hormone on lipolysis and insulin sensitivity.

    abstract:CONTEXT:Peroxisome proliferator-activated receptor gamma (PPAR-gamma) agonists such as thiazolidinediones (TZDs) improve insulin sensitivity in type 2 diabetes mellitus (T2DM) through effects on fat metabolism whereas GH stimulates lipolysis and induces insulin resistance. OBJECTIVE:To evaluate the impact of TZDs on f...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2265.2008.03231.x

    authors: Krag MB,Nielsen S,Guo Z,Pedersen SB,Schmitz O,Christiansen JS,Jørgensen JO

    更新日期:2008-09-01 00:00:00

  • Diurnal variation of sex hormone binding globulin and insulin-like growth factor binding protein-1 in women with polycystic ovary syndrome.

    abstract:OBJECTIVES:The aim of this study was to examine (1) the diurnal variation in SHBG and (2) the inter-relationships of insulin, IGF-I, SHBG and IGFBP-1 over 24 hours in 10 women with anovulatory PCOS and compare them with weight-matched ovulatory controls. PATIENTS AND METHODS:The two groups comprised 10 anovulatory wom...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1995.tb01910.x

    authors: Hamilton-Fairley D,White D,Griffiths M,Anyaoku V,Koistinen R,Seppälä M,Franks S

    更新日期:1995-08-01 00:00:00

  • Response to neurotransmitter modulating drugs in patients with Cushing's disease.

    abstract::We designed a systematic study of patients with Cushing's disease to compare the results of acute experiments with cyproheptadine, sodium valproate and bromocriptine with the results of chronic treatment with sodium valproate. In 13 patients the plasma cortisol response to single doses of 2.5 mg bromocriptine, 6 mg cy...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1986.tb03621.x

    authors: Koppeschaar HP,Croughs RJ,Thijssen JH,Schwarz F

    更新日期:1986-12-01 00:00:00

  • Failure of 2-hydroxyoestrone to lower prolactin concentrations in hyperprolactinaemic women.

    abstract::The catechol oestrogen 2-hydroxyoestrone has been reported to lower serum prolactin concentrations acutely in normal women and it has been proposed that it may be effective in suppressing prolactin secretion in hyperprolactinaemic patients. Five women with hyperprolactinaemia and anovulation were studied. Following a ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1981.tb00678.x

    authors: Franks S,Lightman SL,MaClusky NJ,Naftolin F,Lynch SS,Butt WR,Jacobs HS

    更新日期:1981-10-01 00:00:00

  • Relationship between leptin levels and bone mineral density in the elderly.

    abstract:OBJECTIVE:To assess the relationship between circulating leptin levels, bone mineral content and density in the elderly. DESIGN:A cross-sectional study. PATIENTS:A cohort of 92 men and 171 women, with ages ranging from 68 to 75 years, selected as a healthy and normal functioning group, in the city centre of Verona. ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.2003.01808.x

    authors: Zoico E,Zamboni M,Adami S,Vettor R,Mazzali G,Tosoni P,Bissoli L,Bosello O

    更新日期:2003-07-01 00:00:00

  • The GH-IGF-I axis and the cardiovascular system: clinical implications.

    abstract:BACKGROUND:GH and IGF-I affect cardiac structure and performance. In the general population, low IGF-I has been associated with higher prevalence of ischaemic heart disease and mortality. Both in GH deficiency (GHD) and excess life expectancy has been reported to be reduced because of cardiovascular disease. OBJECTIVE...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2265.2008.03292.x

    authors: Colao A

    更新日期:2008-09-01 00:00:00

  • Bone mineral density and fractures in congenital adrenal hyperplasia: Findings from the dsd-LIFE study.

    abstract:BACKGROUND:In patients with congenital adrenal hyperplasia (CAH) type and doses of glucocorticoids used as well as sex hormone secretion during puberty have important actions on bone mineral density (BMD) in adulthood. AIM:To evaluate BMD in adult CAH patients depending on current glucocorticoid therapy and on androge...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.14149

    authors: Riehl G,Reisch N,Roehle R,Claahsen van der Grinten H,Falhammar H,Quinkler M

    更新日期:2020-04-01 00:00:00

  • Treatment with GHRH(1-29)NH2 in children with idiopathic short stature induces a sustained increase in growth velocity.

    abstract:OBJECTIVE:Therapy with GHRH in patients with mild GH insufficiency appears to be more effective than in those with severe insufficiency. We, therefore, studied the clinical response of children with idiopathic short stature to treatment with GHRH(1-29)NH2 (GHRHa) for a period of 12 months. DESIGN:Eighteen short pre-pu...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1994.tb02580.x

    authors: Kirk JM,Trainer PJ,Majrowski WH,Murphy J,Savage MO,Besser GM

    更新日期:1994-10-01 00:00:00

  • Growth hormone (GH) responses to arginine and L-dopa alone and after GHRH pretreatment.

    abstract::In order to investigate the mechanisms by which arginine and L-dopa cause GH release in humans we measured the GH response to GHRH 1-44 (200 micrograms i.v.), arginine (30 g i.v. over 30 min) and L-dopa (500 mg orally) administered alone and 120 minutes following pretreatment with GHRH 1-44 (200 micrograms i.v.) in no...

    journal_title:Clinical endocrinology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2265.1988.tb03690.x

    authors: Page MD,Dieguez C,Valcavi R,Edwards C,Hall R,Scanlon MF

    更新日期:1988-05-01 00:00:00

  • Thyroid status in various degrees of protein-calorie malnutrition in children.

    abstract::The thyroid functional parameters of 102 children with protein-calorie malnutrition (PCM) classified as undernourished, marasmic, kwashiorkor and marasmic-kwashiorkor were studied by measuring the serum T4, T3, T3 percentage uptake (T3%UT), free thyroxine index (FTI), and (in a few subjects) TSH. Total plasma proteins...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1983.tb03189.x

    authors: Onuora C,Maharajan G,Singh A,Etta KM

    更新日期:1983-01-01 00:00:00

  • Twin models of environmental and genetic influences on pubertal development, salivary testosterone, and estradiol in adolescence.

    abstract:OBJECTIVE:Research on sources of variation in adolescent's gonadal hormone levels is limited. We sought to decompose individual differences in adolescent testosterone, estradiol, and pubertal status, into genetic and environmental components. DESIGN:A sample of male and female adolescent twins from the greater Austin ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13522

    authors: Grotzinger AD,Mann FD,Patterson MW,Herzhoff K,Tackett JL,Tucker-Drob EM,Paige Harden K

    更新日期:2018-02-01 00:00:00

  • Bone mineral density and metabolism in premenopausal women taking L-thyroxine replacement therapy.

    abstract:BACKGROUND AND OBJECTIVE:Excess endogenous thyroxine causes bone loss, but the effects of exogenous thyroxine are disputed. We report on bone mass and metabolism in women taking L-thyroxine therapy. DESIGN:Cross-sectional and longitudinal studies. PATIENTS:Cross-sectional study: 40 healthy premenopausal women with au...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1994.tb02789.x

    authors: Garton M,Reid I,Loveridge N,Robins S,Murchison L,Beckett G,Reid D

    更新日期:1994-12-01 00:00:00

  • Prevalence of hypocalcaemia and its associated features in 22q11·2 deletion syndrome.

    abstract:BACKGROUND:22q11.2 deletion syndrome (22q11.2DS) is a relatively common yet under-recognized genetic syndrome that may present with endocrine features. We aimed to address the factors that contribute to the high prevalence of hypocalcaemia. METHODS:We investigated hypocalcaemia in a well-characterized sample of 138 ad...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.12466

    authors: Cheung EN,George SR,Costain GA,Andrade DM,Chow EW,Silversides CK,Bassett AS

    更新日期:2014-08-01 00:00:00

  • Autoimmune polyglandular syndrome, primary empty sella, and acute lymphocytic leukaemia.

    abstract::A young man is reported with an autoimmune polyglandular syndrome (APS) characterized by Addison's disease, primary hypothyroidism, primary hypogonadism, vitiligo, associated with primary empty sella and partial impairment of pituitary hormone secretion. Two years later the patient showed a null cell type acute lympho...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1987.tb01183.x

    authors: De Rosa G,Della Casa S,Corsello SM,Cecchini L,Callà C

    更新日期:1987-11-01 00:00:00

  • Glycoprotein hormone alpha-subunit and prolactin release by cultured pituitary adenoma cells from acromegalic patients: correlation with GH release.

    abstract::In-vitro data of pituitary adenoma cells from 28 acromegalic patients were evaluated. In addition to GH, PRL was produced by 16 adenomas (57%) and alpha-subunit by 15 adenomas (54%) while there was a significantly higher incidence of tumours producing PRL and alpha-subunit simultaneously. From 26 pituitary adenomas en...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1989.tb00264.x

    authors: Hofland LJ,van Koetsveld PM,Verleun TM,Lamberts SW

    更新日期:1989-06-01 00:00:00

  • 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 ther...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2265.1992.tb02306.x

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

    更新日期:1992-08-01 00:00:00

  • An account of the quality of life of patients after treatment for non-functioning pituitary tumours.

    abstract:OBJECTIVE:Studies assessing quality of life in GH-deficient adults have shown varying results. This may be due to a number of factors including varying causes of GH deficiency, the use of radiotherapy in treatment and patient selection. We aimed to assess whether anterior pituitary hormone deficiency or external pituit...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1997.1400957.x

    authors: Page RC,Hammersley MS,Burke CW,Wass JA

    更新日期:1997-04-01 00:00:00

  • Central hypothyroidism improves with age in very young children with Prader-Willi syndrome.

    abstract:OBJECTIVE:Abnormalities in the hypothalamic-pituitary-thyroid (HPT) axis have been implicated in Prader-Willi syndrome (PWS); however, limited information is currently available on age-dependent alterations in the HPT axis. We herein investigated age-dependent differences in thyroid hormone levels in PWS children. DES...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.14323

    authors: Konishi A,Ida S,Shoji Y,Etani Y,Kawai M

    更新日期:2020-08-31 00:00:00

  • The loss of circadian rhythm for intact parathyroid hormone and nephrogenous cyclic AMP in patients with primary hyperparathyroidism.

    abstract::The measurement of serum intact parathyroid hormone (PTH) (1-84) over a 24-h period has shown the existence of a circadian rhythm in normal males which is absent in patients with primary hyperparathyroidism. The physiological significance of this observation is reflected in the presence of parallel changes in nephroge...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1990.tb00888.x

    authors: Logue FC,Fraser WD,Gallacher SJ,Cameron DA,O'Reilly DS,Beastall GH,Patel U,Boyle IT

    更新日期:1990-04-01 00:00:00

  • Elevated circulating adiponectin in type 1 diabetes is associated with long diabetes duration.

    abstract:OBJECTIVE:To study circulating adiponectin concentrations in relation to diabetes duration and endogenous insulin secretion in patients with type 1 diabetes. PATIENTS:Patients with haemoglobin A1c (HbA1c) < 6% (reference range 3.6-5.4%) were selected for the study. Twenty-two men and 24 women [age 41.3 +/- 13.8 years ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2006.02666.x

    authors: Lindström T,Frystyk J,Hedman CA,Flyvbjerg A,Arnqvist HJ

    更新日期:2006-12-01 00:00:00

  • Prolactin secretion and biological activity in females with galactorrhoea and normal circulating prolactin concentrations at rest.

    abstract::Prolactin secretion and biological activity have been investigated in 20 females with persistent idiopathic galactorrhoea who had normal resting serum prolactin levels at presentation. Results were compared with those in 34 normal controls. Hyperprolactinaemia, which was persistent in one and intermittent in the other...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1985.tb03003.x

    authors: Johnston DG,Haigh J,Prescott RW,Heaton A,Kendall-Taylor P,Baylis P,Alberti KG,Rowe R,Friesen H,Cook D

    更新日期:1985-05-01 00:00:00

  • The response of plasma oxytocin to surgical stress.

    abstract::Recent evidence suggests that oxytocin (OXT) and arginine vasopressin (AVP) are involved in the response to stress. We have examined the changes in peripheral plasma OXT during abdominal surgery in eight patients (six males, two female; ages 60-82 years) undergoing hemicolectomy and compared the results with those for...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1988.tb01213.x

    authors: Nussey SS,Page SR,Ang VT,Jenkins JS

    更新日期:1988-03-01 00:00:00

  • The effect of propylthiouracil on subsequent radioactive iodine therapy in Graves' disease.

    abstract:OBJECTIVE:Antithyroidal drugs (ATD) are used in the management of Graves' disease either as primary therapy for several months while awaiting remission of the disease or as pretreatment for several weeks prior to definitive radioactive iodine therapy (RAI). We have reported previously that pretreatment with propylthiou...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1997.2741075.x

    authors: Hancock LD,Tuttle RM,LeMar H,Bauman J,Patience T

    更新日期:1997-10-01 00:00:00

  • Addison's disease with polyglandular autoimmunity carries a more than 2·5-fold risk for adrenal crises: German Health insurance data 2010-2013.

    abstract:OBJECTIVE:Adrenal crises are potentially life-threatening complications in patients with adrenal insufficiency (AI). Our objective was to investigate the frequency of adrenal crises in different forms of AI. DESIGN/PATIENTS:The Statutory Health Insurance (SHI) database of the Techniker Krankenkasse - covering more tha...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/cen.13043

    authors: Meyer G,Badenhoop K,Linder R

    更新日期:2016-09-01 00:00:00

  • Reproducibility of the low dose dexamethasone suppression test: comparison between direct plasma and salivary cortisol assays.

    abstract:BACKGROUND:The low dose dexamethasone suppression test (DST) has been used to detect subtle variations in the feedback suppression of the hypothalamic-pituitary-adrenal axis, which may contribute to the pathogenesis of several diseases including depression, the metabolic syndrome and coronary artery disease. Little is ...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2265.1998.00549.x

    authors: Reynolds RM,Bendall HE,Whorwood CB,Wood PJ,Walker BR,Phillips DI

    更新日期:1998-09-01 00:00:00

  • Osmoregulation of vasopressin secretion and thirst in cyclical oedema.

    abstract::Osmoregulation of vasopressin release and thirst was studied in the mid-follicular and mid-luteal phases of the menstrual cycle of five patients with cyclical oedema defined by peripheral oedema and weight gain (greater than 3.0 kg) manifest in two consecutive luteal phases. Results are compared to those already obtai...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1988.tb03854.x

    authors: Thompson CJ,Burd JM,Baylis PH

    更新日期:1988-06-01 00:00:00

  • The hypothalamic-pituitary-adrenal axis in infantile malnutrition.

    abstract::We studied the circadian rhythm and the response of the hypothalamic-pituitary-adrenal (HPA) axis to ovine corticotrophin releasing hormone (oCRH) stimulation and dexamethasone suppression in 32 children with grade II-III marasmus. Children were studied prior to and after nutritional rehabilitation. Mean baseline plas...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.1990.tb00886.x

    authors: Malozowski S,Muzzo S,Burrows R,Leiva L,Loriaux L,Chrousos G,Winterer J,Cassorla F

    更新日期:1990-04-01 00:00:00

  • Insulin resistance and the metabolic syndrome in obese French children.

    abstract:OBJECTIVE:To estimate the frequency of the metabolic syndrome (MS) and of the insulin resistance syndrome (IRS) in overweight or obese French children and to determine the risk factors. DESIGN, PATIENTS AND METHODS:A total of 308 overweight and obese children [166 girls, 142 boys, aged 7-17 years; median body mass ind...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2006.02526.x

    authors: Druet C,Dabbas M,Baltakse V,Payen C,Jouret B,Baud C,Chevenne D,Ricour C,Tauber M,Polak M,Alberti C,Levy-Marchal C

    更新日期:2006-06-01 00:00:00

  • Metabolic syndrome increases all-cause and vascular mortality: the Hong Kong Cardiovascular Risk Factor Study.

    abstract:OBJECTIVE:The metabolic syndrome has been associated with increased mortality in some Caucasian populations, but data in Asian populations are not available. We present data describing the association of the metabolic syndrome with mortality. METHODS:The impact of the US National Cholesterol Education Program Adult Tr...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2007.02798.x

    authors: Thomas GN,Schooling CM,McGhee SM,Ho SY,Cheung BM,Wat NM,Janus ED,Lam KS,Lam TH,Hong Kong Cardiovascular Risk Factor Prevalence Study Steering Committee.

    更新日期:2007-05-01 00:00:00

  • Left ventricular dysfunction in Klinefelter syndrome is associated to insulin resistance, abdominal adiposity and hypogonadism.

    abstract:OBJECTIVE:Epidemiological data suggest there is an increased risk of dying from heart disease among patients with Klinefelter syndrome (KS). Due to high prevalence of hypogonadism and metabolic syndrome, we speculated that patients with KS may have subclinical changes in the left ventricular function. Therefore, the ai...

    journal_title:Clinical endocrinology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2265.2008.03211.x

    authors: Andersen NH,Bojesen A,Kristensen K,Birkebaek NH,Fedder J,Bennett P,Christiansen JS,Gravholt CH

    更新日期:2008-11-01 00:00:00