Góth M, Szabolcs I, Irsy G, Szilágyi G, Afra D, Pásztor E
Z Gesamte Inn Med. 1982 Mar 15;37(6):183-6.
Subtotal tumour removal had been performed in a 34-year-old female patient for an extensive intra- and suprasellar expansive process. The considerably increased prolactin level did not decrease postoperatively, but normalised only after a three months bromocriptine treatment. The primary hyperthyroidism has been recovering after administering methimazolum. In a second case was reported on a 65-year-old female patient, suffering from rachitic dwarfism, stenosis of the aortic valve and tumour of the hypophysis, causing acromegaly, whose diabetes mellitus of contrainsular type could have been hardly balanced with insulin of a 128-unit-dose daily, and whose hyperthyroidism was due to an autonomous adenoma of the thyroid gland, first I-131 treatment was administered and she got into an euthyroid state. Six weeks following the removal of the acidophilic adenoma of the hypophysis administration of insulin could have been ceased, and the results of her growth hormone became normal. The clinical picture partly corresponds with Troell-Junet's syndrome.
对一名34岁女性患者进行了肿瘤次全切除,该患者存在广泛的鞍内和鞍上扩张性病变。术后催乳素水平显著升高并未下降,仅在接受三个月溴隐亭治疗后恢复正常。服用甲巯咪唑后原发性甲状腺功能亢进症已恢复。报道的第二例是一名65岁女性患者,患有佝偻病性侏儒症、主动脉瓣狭窄和垂体瘤,导致肢端肥大症,其胰岛细胞型糖尿病每日128单位剂量的胰岛素几乎难以控制,其甲状腺功能亢进症是由甲状腺自主腺瘤引起的,首先进行了I-131治疗,她进入了甲状腺功能正常状态。垂体嗜酸性腺瘤切除六周后可以停止使用胰岛素,其生长激素结果恢复正常。临床表现部分符合特罗尔-朱内综合征。