Abstract | BACKGROUND: METHODS: Fifteen patients with TSH-secreting pituitary adenomas (8 men and 7 women), who previously underwent incomplete surgical resection and/or adjuvant radiotherapy (n = 12) and failure of octreotide treatment (n = 15), followed between 2007 and 2010 in Beijing Tiantan Hospital were included in this study. All patients received 1- to 2-months of the long-acting octreotide formulation treatment after the above combination of treatment. Paired samples t-test was used to analysis the variables. RESULTS: After two-month duration of the long-acting octreotide formulation treatment, the mean serum free or unbound thyroxine (FT4) ((16.02 ± 1.72) pmol/L) and free triiodothyronine (FT3) ((2.87 ± 0.43) pmol/L) levels of 15 patients significantly decreased compared with those after octreotide-treatment (FT4, (35.36 ± 7.42) pmol/L, P < 0.001; FT3, (17.85 ± 7.22) pmol/L, P < 0.001). Mean TSH levels stayed in the normal range after the long-acting octreotide formulation treatment ((0.72 ± 0.21) mU/L) and were significantly lower than the pretreatment value ((5.27 ± 1.04) mU/L, P < 0.001), post-surgery value ((3.37 ± 0.31) mU/L, P < 0.001) and post- octreotide-treatment value ((4.52 ± 0.41) mU/L, P < 0.001). In these patients with TSH-secreting pituitary adenomas there was no evidence of tachyphylaxis. CONCLUSION: The long-acting octreotide formulation may be a useful and safe therapeutic tool to facilitate the medical treatment of TSH-secreting pituitary adenomas in patients who underwent incomplete surgery or need long-term somatostatin analog therapy.
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Authors | Chun-Fang Zhang, Dan Liang, Li-Yong Zhong |
Journal | Chinese medical journal
(Chin Med J (Engl))
Vol. 125
Issue 15
Pg. 2758-63
(Aug 2012)
ISSN: 2542-5641 [Electronic] China |
PMID | 22931988
(Publication Type: Journal Article)
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Chemical References |
- Triiodothyronine
- Thyrotropin
- Thyroxine
- Octreotide
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Topics |
- Adult
- Female
- Humans
- Male
- Middle Aged
- Octreotide
(therapeutic use)
- Pituitary Neoplasms
(blood, drug therapy, metabolism, surgery)
- Thyrotropin
(blood, metabolism)
- Thyroxine
(blood)
- Triiodothyronine
(blood)
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