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  • Title: The pathogenesis of acromegaly. Clinical and immunocytochemical analysis in 75 patients.
    Author: Laws ER, Scheithauer BW, Carpenter S, Randall RV, Abboud CF.
    Journal: J Neurosurg; 1985 Jul; 63(1):35-8. PubMed ID: 4009272.
    Abstract:
    A series of 75 patients with acromegaly and immunocytochemically characterized pituitary adenomas has been analyzed. Tumors secreting growth hormone (GH) only were found in 21% of cases. The remainder had tumors immunoreactive for more than one pituitary hormone: GH and prolactin in 31%; GH, prolactin, and glycoprotein in 40%; and GH and glycoprotein in 8%. Microadenomas were surgically treated in 17 patients with a success rate of 82%. Overall, normalization of basal GH secretion (to less than or equal to 5 ng/ml) was achieved in 54% of cases. The implications of these findings for the pathogenesis and neurosurgical management of acromegaly are discussed.
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