TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid

Patients with long-standing hypothyroid are, in some cases, reported to develop pituitary gland hyperplasia due to loss of feedback inhibition of thyroxine in hypothalamus—the condition of which typically regresses after thyroxine replacement. Herein, a 15-year-old girl—with long-standing untreated...

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Main Authors: S. Wacharasindhu, S. Shuangshoti, S. Sunthornyothin
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/570847
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author S. Wacharasindhu
S. Shuangshoti
S. Sunthornyothin
author_facet S. Wacharasindhu
S. Shuangshoti
S. Sunthornyothin
author_sort S. Wacharasindhu
collection DOAJ
description Patients with long-standing hypothyroid are, in some cases, reported to develop pituitary gland hyperplasia due to loss of feedback inhibition of thyroxine in hypothalamus—the condition of which typically regresses after thyroxine replacement. Herein, a 15-year-old girl—with long-standing untreated lingual hypothyroid—presents with a pathologically proven TSH pituitary macroadenoma and bilateral large ovarian cysts. Although MR imaging may differentiate between hyperplasia and macroadenoma of the pituitary gland, pathological examination is still a cornerstone to correct diagnosis.
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series Case Reports in Endocrinology
spelling doaj-art-efeff7afecc44c44a6eb40efd16f61c62025-08-20T02:22:03ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/570847570847TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual ThyroidS. Wacharasindhu0S. Shuangshoti1S. Sunthornyothin2Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, ThailandDepartment of Pathology and Chulalongkorn GenePRO Center, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, ThailandDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, ThailandPatients with long-standing hypothyroid are, in some cases, reported to develop pituitary gland hyperplasia due to loss of feedback inhibition of thyroxine in hypothalamus—the condition of which typically regresses after thyroxine replacement. Herein, a 15-year-old girl—with long-standing untreated lingual hypothyroid—presents with a pathologically proven TSH pituitary macroadenoma and bilateral large ovarian cysts. Although MR imaging may differentiate between hyperplasia and macroadenoma of the pituitary gland, pathological examination is still a cornerstone to correct diagnosis.http://dx.doi.org/10.1155/2013/570847
spellingShingle S. Wacharasindhu
S. Shuangshoti
S. Sunthornyothin
TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
Case Reports in Endocrinology
title TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
title_full TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
title_fullStr TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
title_full_unstemmed TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
title_short TSH-Secreting Pituitary Macroadenoma in a Girl with Lingual Thyroid
title_sort tsh secreting pituitary macroadenoma in a girl with lingual thyroid
url http://dx.doi.org/10.1155/2013/570847
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AT sshuangshoti tshsecretingpituitarymacroadenomainagirlwithlingualthyroid
AT ssunthornyothin tshsecretingpituitarymacroadenomainagirlwithlingualthyroid