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[一名肢端肥大症患者在切除垂体腺瘤后一直不育,服用溴隐亭后出现双胎妊娠。肿瘤的免疫细胞化学研究(作者译)]

[Twin pregnancy following bromocriptine in an acromegalic patient staying sterile after removal of a pituitary adenoma. Immunocytochemical study of the tumor (author's transl)].

作者信息

Brun J M, Bloch B, Bugnon C, Putelat R

出版信息

Ann Endocrinol (Paris). 1979;40(6):551-2.

PMID:232833
Abstract

A pituitary adenoma was removed from a young woman who had acromegaly with galactorrhea-amenorrhea. Postoperatively, the dysmorphic acromegalic syndrome and galactorrhea decreased but amenorrhea, elevated serum GH and PRL concentrations remained. After Bromocriptine administration (5 mg daily) GH and PRL levels became normal, vaginal bleeding ensued within 3 months and a twin pregnancy was induced. An immunocytochemical study of the pituitary adenoma revealed the presence of two well defined, distinct cell types, each secreting one hormone with large preponderance of GH cells.

摘要

从一名患有肢端肥大症伴溢乳-闭经的年轻女性身上切除了垂体腺瘤。术后,畸形的肢端肥大症综合征和溢乳有所减轻,但闭经、血清生长激素(GH)和催乳素(PRL)浓度仍居高不下。给予溴隐亭(每日5毫克)后,GH和PRL水平恢复正常,3个月内出现阴道出血并诱发了双胎妊娠。对垂体腺瘤进行的免疫细胞化学研究显示存在两种界限分明、截然不同的细胞类型,每种细胞分泌一种激素,其中GH细胞占绝大多数。

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