Thyrotropinoma And Multinodular Goiter: A Diagnostic Challenge For Hyperthyroidism
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Tarih
2013Yazar
Aksoy, Duygu Yazgan
Gedik, Arzu
Cinar, Nese
Soylemezoglu, Figen
Berker, Mustafa
Gurlek, Omer Alper
Üst veri
Tüm öğe kaydını gösterÖzet
Thyroid disorders are frequently encountered. The diagnosis is straightforward unless clinical or laboratory findings are inconclusive and/or perplexing. Hyperthyroidism due to a thyrotropin-secreting pituitary adenoma rarely occurs and symptoms due to thyroid hormone excess are subtle. The presentation of the disease becomes unusual when co-secretion of other hormones with thyrotropin or concomitant thyroid parenchymal pathology exist. We present the case of a 63-year-old female patient with thyrotropinoma co-secreting growth hormone and multinodular goiter. She developed hyperthyroidism first due to thyrotropinoma and later due to a toxic nodule. Herein, we discuss the diagnostic and therapeutic challenges of hyperthyroidism with atypical presentation.
Bağlantı
https://doi.org/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3906776/
http://hdl.handle.net/11655/14483