Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma

Gonadotropins secreting pituitary tumors tend to present as sellar mass with hypogonadism. Biologically active LH secretion by these tumors resulting in elevated testosterone is extremely rare. We report a case of a 48-year-old male patient who presented with giant pituitary tumor, elevated testoste...

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Main Authors: Astha Thakkar, Subramanian Kannan, Amir Hamrahian, Richard A. Prayson, Robert J. Weil, Charles Faiman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/194716
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author Astha Thakkar
Subramanian Kannan
Amir Hamrahian
Richard A. Prayson
Robert J. Weil
Charles Faiman
author_facet Astha Thakkar
Subramanian Kannan
Amir Hamrahian
Richard A. Prayson
Robert J. Weil
Charles Faiman
author_sort Astha Thakkar
collection DOAJ
description Gonadotropins secreting pituitary tumors tend to present as sellar mass with hypogonadism. Biologically active LH secretion by these tumors resulting in elevated testosterone is extremely rare. We report a case of a 48-year-old male patient who presented with giant pituitary tumor, elevated testosterone, and elevated levels of gonadotropins. Surgical resection of the tumor resulted in normalization of gonadotropins and fall in serum testosterone to subnormal levels in the postoperative period confirming that the tumor was secreting bioactive luteinizing hormone (LH).
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institution OA Journals
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Endocrinology
spelling doaj-art-4f39be308d6d41b586d6ff1f3e108fa12025-08-20T02:05:39ZengWileyCase Reports in Endocrinology2090-65012090-651X2014-01-01201410.1155/2014/194716194716Testicular “Hyperstimulation” Syndrome: A Case of Functional GonadotropinomaAstha Thakkar0Subramanian Kannan1Amir Hamrahian2Richard A. Prayson3Robert J. Weil4Charles Faiman5Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai 400008, IndiaEndocrinology, Diabetes & Metabolism Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USAEndocrinology, Diabetes & Metabolism Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USAInstitute of Anatomic Pathology, Cleveland Clinic Foundation, Cleveland, OH 44195, USABrain Tumor & Neuro-Oncology Center, Department of Neurosurgery, The Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USAEndocrinology, Diabetes & Metabolism Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USAGonadotropins secreting pituitary tumors tend to present as sellar mass with hypogonadism. Biologically active LH secretion by these tumors resulting in elevated testosterone is extremely rare. We report a case of a 48-year-old male patient who presented with giant pituitary tumor, elevated testosterone, and elevated levels of gonadotropins. Surgical resection of the tumor resulted in normalization of gonadotropins and fall in serum testosterone to subnormal levels in the postoperative period confirming that the tumor was secreting bioactive luteinizing hormone (LH).http://dx.doi.org/10.1155/2014/194716
spellingShingle Astha Thakkar
Subramanian Kannan
Amir Hamrahian
Richard A. Prayson
Robert J. Weil
Charles Faiman
Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
Case Reports in Endocrinology
title Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
title_full Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
title_fullStr Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
title_full_unstemmed Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
title_short Testicular “Hyperstimulation” Syndrome: A Case of Functional Gonadotropinoma
title_sort testicular hyperstimulation syndrome a case of functional gonadotropinoma
url http://dx.doi.org/10.1155/2014/194716
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AT amirhamrahian testicularhyperstimulationsyndromeacaseoffunctionalgonadotropinoma
AT richardaprayson testicularhyperstimulationsyndromeacaseoffunctionalgonadotropinoma
AT robertjweil testicularhyperstimulationsyndromeacaseoffunctionalgonadotropinoma
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