Skip to main content
Log in

Multicenter Study on Adult Growth Hormone Level in Postoperative Pituitary Tumor Patients

  • Original Paper
  • Published:
Cell Biochemistry and Biophysics Aims and scope Submit manuscript

Abstract

The objective of this study is to observe the adult growth hormone level in postoperative pituitary tumor patients of multi-centers, and explore the change of hypophyseal hormones in postoperative pituitary tumor patients. Sixty patients with pituitary tumor admitted during March, 2011–March, 2012 were selected. Postoperative hypophyseal hormone deficiency and the change of preoperative, intraoperative, and postoperative growth hormone levels were recorded. Growth hormone hypofunction was the most common hormonal hypofunction, which took up to 85.0 %. Adrenocortical hormone hypofunction was next to it and accounted for 58.33 %. GH + ACTH + TSH + Gn deficiency was the most common in postoperative hormone deficiency, which took up to 40.00 %, and GH + ACTH + TSH + Gn + AVP and GH deficiencies were next to it and accounted for 23.33 and 16.67 %, respectively. The hormone levels in patients after total pituitary tumor resection were significantly lower than those after partial pituitary tumor resection, and the difference was statistically significant; growth hormone and serum prolactin levels after surgery in two groups were decreased, and the difference was statistically significant. The incidence rate of growth hormone deficiency in postoperative pituitary tumor patients is high, which is usually complicated with deficiency of various hypophyseal hormones. In clinical, we should pay attention to the levels of the hypopnyseal hormones, and take timely measures to avoid postoperative complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Xekouki, P., Pacak, K., Almeida, M., et al. (2011). Succinate dehydrogenase (SDH) D subunit (SDHD) inactivation in a growth-hormone-producing pituitary tumor: A new association for SDH? The Journal of Clinical Endocrinology and Metabolism, 97(3), E357–E366.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Chintharlapalli, S., Papineni, S., Lee, S. O., et al. (2011). Inhibition of pituitary tumor-transforming gene-1 in thyroid cancer cells by drugs that decrease specificity proteins. Molecular Carcinogenesis, 50(9), 655–667.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Shah, P. P., & Kakar, S. S. (2011). Pituitary tumor transforming gene induces epithelial to mesenchymal transition by regulation of Twist, Snail, Slug, and E-cadherin. Cancer Letters, 311(1), 66–76.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Melmed, S. (2011). Pathogenesis of pituitary tumors. Nature Reviews Endocrinology, 7(5), 257–266.

    Article  CAS  PubMed  Google Scholar 

  5. Brzana, J. A., Yedinak, C. G., Delashaw, J. B., et al. (2012). Discordant growth hormone and IGF-1 levels post pituitary surgery in patients with acromegaly naïve to medical therapy and radiation: What to follow, GH or IGF-1 values? Pituitary, 15(4), 562–570.

    Article  CAS  PubMed  Google Scholar 

  6. Shin, M. S., Yu, J. H., Choi, J. H., et al. (2013). Long-term changes in serum IGF-1 levels after successful surgical treatment of growth hormone-secreting pituitary adenoma. Neurosurgery, 73(3), 473–479.

    Article  PubMed  Google Scholar 

  7. Loyo-Varela, M., Herrada-Pineda, T., Revilla-Pacheco, F., et al. (2013). Pituitary tumor surgery: Review of 3004 cases. World Neurosurgery, 79(2), 331–336.

    Article  PubMed  Google Scholar 

  8. Lania, A. G., Ferrero, S., Pivonello, R., et al. (2010). Evolution of an aggressive prolactinoma into a growth hormone secreting pituitary tumor coincident with GNAS gene mutation. The Journal of Clinical Endocrinology and Metabolism, 95(1), 13–17.

    Article  CAS  PubMed  Google Scholar 

  9. Hofstetter, C. P., Nanaszko, M. J., Mubita, L. L., et al. (2012). Volumetric classification of pituitary macroadenomas predicts outcome and morbidity following endoscopic endonasal transsphenoidal surgery. Pituitary, 15(3), 450–463.

    Article  PubMed  Google Scholar 

  10. Chen, L., White, W. L., Spetzler, R. F., et al. (2011). A prospective study of nonfunctioning pituitary adenomas: Presentation, management, and clinical outcome. Journal of Neuro-oncology, 102(1), 129–138.

    Article  PubMed  Google Scholar 

  11. Leyer, C., Castinetti, F., Morange, I., et al. (2011). A conservative management is preferable in milder forms of pituitary tumor apoplexy. Journal of Endocrinological Investigation, 34(7), 502–509.

    CAS  PubMed  Google Scholar 

  12. Dudziak, K., Honegger, J., Bornemann, A., et al. (2011). Pituitary carcinoma with malignant growth from first presentation and fulminant clinical course—case report and review of the literature. The Journal of Clinical Endocrinology and Metabolism, 96(9), 2665–2669.

    Article  CAS  PubMed  Google Scholar 

  13. Lee, J. S., Park, Y. S., Kwon, J. T., et al. (2011). Radiological apoplexy and its correlation with acute clinical presentation, angiogenesis and tumor microvascular density in pituitary adenomas. Journal of Korean Neurosurgical Society, 50(4), 281–287.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Xekouki, P., Pacak, K., Almeida, M., et al. (2012). Succinate dehydrogenase (SDH) D subunit (SDHD) inactivation in a growth-hormone-producing pituitary tumor: A new association for SDH? The Journal of Clinical Endocrinology and Metabolism, 97(3), E357–E366.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Arita, H., Kinoshita, M., Oshino, S., et al. (2012). Biological characteristics of growth hormone-producing pituitary adenomas are different according to responsiveness to thyrotropin-releasing hormone. The Journal of Clinical Endocrinology and Metabolism, 97(8), 2741–2747.

    Article  CAS  PubMed  Google Scholar 

  16. Butler, P. W., Cochran, C. S., Merino, M. J., et al. (2012). Ectopic growth hormone-releasing hormone secretion by a bronchial carcinoid tumor: Clinical experience following tumor resection and long-Acting octreotide therapy. Pituitary, 15(2), 260–265.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Guevara-Aguirre, J., Balasubramanian, P., Guevara-Aguirre, M., et al. (2011). Growth hormone receptor deficiency is associated with a major reduction in pro-aging signaling, cancer, and diabetes in humans. Science Translational Medicine, 3(70), 70ra13.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Chapman, IM., Hartman, ML., Pezzoli, SS, et al. (2013). Effect of aging on the sensitivity of growth hormone secretion to insulin-like growth Factor-I negative feedback1. The Journal of Clinical Endocrinology and Metabolism, Endocrine Society. doi:10.1210/jcem.82.9.4223.

  19. Xia, X., Ramanathan, M., Orr, B. A., et al. (2012). Expanded endonasal endoscopic approach for resection of a growth hormone-secreting pituitary macroadenoma coexistent with a cavernous carotid artery aneurysm. Journal of Clinical Neuroscience, 19(10), 1437–1441.

    Article  PubMed  Google Scholar 

  20. Caraty, A., Lomet, D., Sébert, M. E., et al. (2013). Gonadotrophin-releasing hormone release into the hypophyseal portal blood of the ewe mirrors both pulsatile and continuous intravenous infusion of kisspeptin: An insight into kisspeptin’s mechanism of action. Journal of Neuroendocrinology, 25(6), 537–546.

    Article  CAS  PubMed  Google Scholar 

  21. McLaughlin, N., Eisenberg, A., Cohan, P., et al. (2013). Value of endoscopy for maximizing tumor removal in endonasal transsphenoidal pituitary adenoma surgery. Journal of Neurosurgery, 118(3), 613–620.

    Article  PubMed  Google Scholar 

  22. Choudhry, O. J., Choudhry, A. J., Nunez, E. A., et al. (2012). Pituitary tumor apoplexy in patients with Cushing’s disease: Endocrinologic and visual outcomes after transsphenoidal surgery. Pituitary, 15(3), 428–435.

    Article  PubMed  Google Scholar 

  23. Meyer, S., Valdemarsson, S., Larsson, E. M., et al. (2011). Classification of pituitary growth hormone producing adenomas according to SIPAP: Application in clinical practice. Acta Radiologica, 52(7), 796–801.

    Article  PubMed  Google Scholar 

  24. Carel, J. C., Ecosse, E., Landier, F., et al. (2012). Long-term mortality after recombinant growth hormone treatment for isolated growth hormone deficiency or childhood short stature: Preliminary report of the French SAGhE study. The Journal of Clinical Endocrinology and Metabolism, 97(2), 416–425.

    Article  CAS  PubMed  Google Scholar 

  25. Jones, A. G., & Vaidya, B. (2014). Preoperative endocrine function and fluid electrolyte balance[M]//pituitary apoplexy (pp. 95–105). Berlin Heidelberg: Springer.

    Google Scholar 

  26. Luque, R. M., Lin, Q., Córdoba-Chacón, J., et al. (2011). Metabolic impact of adult-onset, isolated, growth hormone deficiency (AOiGHD) due to destruction of pituitary somatotropes. PLoS One, 6(1), e15767.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  27. Högler, W., & Shaw, N. (2010). Childhood growth hormone deficiency, bone density, structures and fractures: Scrutinizing the evidence. Clinical Endocrinology, 72(3), 281–289.

    Article  PubMed  Google Scholar 

  28. Colvin, S. C., Malik, R. E., Showalter, A. D., et al. (2011). Model of pediatric pituitary hormone deficiency separates the endocrine and neural functions of the LHX3 transcription factor in vivo. Proceedings of the National Academy of Sciences, 108(1), 173–178.

    Article  CAS  Google Scholar 

Download references

Conflict of interest

The authors have not declared any conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jian-wen Gu.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cheng, Jm., Gu, Jw., Kuang, Yq. et al. Multicenter Study on Adult Growth Hormone Level in Postoperative Pituitary Tumor Patients. Cell Biochem Biophys 71, 1239–1242 (2015). https://doi.org/10.1007/s12013-014-0334-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12013-014-0334-5

Keywords

Navigation