Cited by 113Pituitary Gland Disorders and TreatmentsNeuroendocrine Tumor Research AdvancesThyroid Disorders and Treatments

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A 2019 update on TSH-secreting pituitary adenomas

Beck-Peccoz, P., Giavoli, C., Lania, A.·2019·Journal of Endocrinological Investigation

DOI 10.1007/s40618-019-01066-x

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Abstract

Thyrotropin-secreting pituitary adenomas (TSH-omas) present with signs and symptoms of hyperthyroidism and they are characterized by elevated serum levels of free thyroid hormones with measurable TSH levels. TSH-omas are very infrequent, accounting for less than 1% of all pituitary adenomas, thus representing a very rare cause of hyperthyroidism. For this reason, data collected on these rare disorders are relatively few, but some new researches shed new light on the etiopathogenesis, the diagnosis and the treatment of such a remarkable disease. Since the same biochemical picture is present in the syndromes of thyroid hormone resistance (RTH), in particular in the form of pituitary RTH, failure in distinguishing these clinical entities may lead to improper patient management. Conversely, early diagnosis and correct treatment of TSH-omas may prevent the occurrence of neurological and endocrinological complications, thus leading to a better rate of cure. In the present short review article, the most relevant recent advances in the pathophysiology of TSH-omas are described.

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Additional file 3 of Pleiomorphism plurihormonal Pit-1-positive macroadenoma with central hyperthyroidism: a rare case report and literature review
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Additional file 2 of Pleiomorphism plurihormonal Pit-1-positive macroadenoma with central hyperthyroidism: a rare case report and literature review
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Authors: Beck-Peccoz, P., Giavoli, C., & Lania, A.
Affiliations: Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
Humanitas University (IT)
Corresponding author: Lania, A.
ORCID: Giavoli, C.
Lania, A.
Venue: Journal of Endocrinological Investigation
Publisher: Springer Science and Business Media LLC
Published: 2019-06-07
Volume: 42
Issue: 12
Pages: 1401-1406
ISSN: 0391-4097 (ISSN-L)
1720-8386
DOI: 10.1007/s40618-019-01066-x
OpenAlex: W2954800995
Cited by: 111
References: 44
Citations by year: 2026: 10 · 2025: 12 · 2024: 16 · 2023: 27 · 2022: 14 · 2021: 17 · 2020: 12 · 2019: 3
FWCI: 1.77
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Journal of Endocrinological Investigation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
Health Sciences › Medicine › Oncology › Neuroendocrine Tumor Research Advances
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
Keywords: TSH-secreting pituitary adenoma, TSHoma, hyperthyroidism, thyroid hormone resistance, etiopathogenesis, diagnosis, treatment, neurological complications
MeSH terms: Adenoma, Humans, Hyperthyroidism, Pituitary Neoplasms, Thyroid Hormones, Thyrotropin

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A 2019 update on TSH-secreting pituitary adenomas

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