Pseudo-pituitary macroadenoma due to primary hypothyriodism: one case report and literature review
10.3760/cma.j.cn341190-20230604-00482
- VernacularTitle:原发甲状腺功能减退症致假性垂体大腺瘤1例及文献复习
- Author:
Xiuling NIE
1
,
2
Author Information
1. 国家卫生健康委员会激素与发育重点实验室（天津医科大学）天津市代谢性疾病重点实验室 天津医科大学朱宪彝纪念医院&
2. 内分泌研究所痛风科，天津 300134
- Keywords:
Hypothyroidism;
Hormone replacement therapy;
Pituitary neoplasms;
Developmental disabilities;
Hypophysectomy;
Diagnostic errors;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(1):86-89
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical manifestations and differential diagnosis of pituitary hyperplasia caused by primary hypothyroidism in children.Methods:A patient with pseudo-pituitary macroadenoma caused by hypothyroidism who received treatment in Hetian District People's Hospital, Xinjiang Uygur Autonomous Region, China was reported. Meanwhile, relevant literature was searched in Pubmed to sort out the clinical and imaging manifestations of pituitary hyperplasia caused by primary hypothyroidism and the differences from pituitary tumors.Results:This patient almost had to be surgically treated. After thyroid hormone replacement therapy, the growth and development of the patient recovered, and the pituitary gland was reduced.Conclusion:For patients with enlarged thyroid and pituitary glands, a comprehensive assessment and thyroid hormone replacement therapy are required. After follow-up for 3 months, re-evaluation is performed to determine whether there are indications for surgery to avoid permanent hypophyseal hypofunction caused by surgical resection.
