Thyrotropin-producing microadenoma associated with pituitary resistance to thyroid hormone

Kenji Watanabe, Toru Kameya, Akira Yamauchi, Naohito Yamamoto, Akira Kuwayama, Izumi Takei, Hiroshi Maruyama, Takao Saruta

研究成果: Article査読

37 被引用数 (Scopus)

抄録

A 21-yr-old female with hyperthyroidism is described. Though her serum-free T3 was 17.8 pmol/L and free T4 was 60.2 pmol/L, TSH was as high as 10.7 mU/L. TRH stimulated an increase in TSH from 10.7-91.7 mU/L. T3 administration in gradually increasing doses of 100, 200, and 400 mg/day resulted in gradual reduction in serum TSH. Cranial computed tomography and magnetic resonance imaging revealed a microadenoma of the pituitary gland. Histology of the surgical specimen showed a TSH-producing adenoma with TSH cell cluster islets and decreased numbers of TSH cells in the nonneoplastic pituitary. Cultured cells from the adenoma secreted TSH spontaneously and in response to TRH. This TRH-stimulated TSH secretion was suppressed by T3 in a dose-dependent manner. One year postoperatively, neither residual tumor nor recurrence were seen by computed tomography and magnetic resonance imaging. However TSH, as well as free T3 or T4, was still high and overresponsive to TRH.

本文言語English
ページ(範囲)1025-1030
ページ数6
ジャーナルJournal of Clinical Endocrinology and Metabolism
76
4
DOI
出版ステータスPublished - 1993 4月

ASJC Scopus subject areas

  • 内分泌学、糖尿病および代謝内科学
  • 生化学
  • 内分泌学
  • 臨床生化学
  • 生化学、医学

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