Lind P, Eber O
Acta Med Austriaca. 1986;13(1):13-6.
Diagnostically one differentiates neoplastic and non neoplastic forms of inappropriate TSH-secretion characterized by increased TSH levels with a parallel rise in peripheral thyroid hormone parameters. Surgery is the treatment of choice in cases of TSH secreting pituitary tumors. In this paper different regims of medication are described in a patient with non neoplastic inappropriate TSH secretion. This 39-year-old woman underwent unsuccessful therapy both with bromocriptine and d-thyroxine. Finally a persistent (so far 4 months) TSH-suppression treatment with TRIAC brought lasting success to the same patient.
在诊断上，可区分肿瘤性和非肿瘤性不适当促甲状腺激素（TSH）分泌形式，其特征是TSH水平升高，同时外周甲状腺激素参数平行升高。手术是促甲状腺激素分泌性垂体肿瘤病例的首选治疗方法。本文描述了一名非肿瘤性不适当TSH分泌患者的不同药物治疗方案。这位39岁的女性使用溴隐亭和d-甲状腺素治疗均未成功。最后，用三甲碘甲状腺原氨酸（TRIAC）进行持续（迄今4个月）的TSH抑制治疗，使该患者获得了持久的成功。
