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肢端肥大症的一种罕见病因:支气管类癌肿瘤异位分泌生长激素释放因子。

A rare cause of acromegaly: ectopic production of growth hormone-releasing factor by a bronchial carcinoid tumor.

作者信息

Garcia-Luna P P, Leal-Cerro A, Montero C, Scheithauer B W, Campanario A, Dieguez C, Astorga R, Kovacs K

出版信息

Surg Neurol. 1987 Jun;27(6):563-8. doi: 10.1016/0090-3019(87)90156-x.

Abstract

Ectopic production of growth hormone-releasing factor (GRF) is a rare cause of acromegaly. In addition to its production by gangliocytomas, both hypothalamic and intrasellar, in rare cases various neuroendocrine neoplasms produce the substance, with resultant growth hormone cell hyperplasia of the pituitary and acromegaly. We report an endocrinologically well-documented case of a GRF-producing bronchial carcinoid tumor in which the associated acromegaly was cured by lobectomy.

摘要

异位分泌生长激素释放因子(GRF)是肢端肥大症的罕见病因。除神经节细胞瘤可分泌GRF外,下丘脑和鞍内肿瘤也可分泌。在罕见情况下,各种神经内分泌肿瘤均可分泌该物质,导致垂体生长激素细胞增生及肢端肥大症。我们报告一例有充分内分泌学证据的分泌GRF的支气管类癌病例,该病例通过肺叶切除术治愈了相关的肢端肥大症。

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