“Overgrowth: Missing a Tumor” Acromegaly without Imaging Evidence of Pituitary Adenoma and No Ectopic Source: A Case Report

Keywords: acromegaly, pituitary neoplasms, adenoma, magnetic resonance imaging, sandostatin, cabergoline, case report

Abstract

Growth hormone - secreting pituitary adenomas are the cause of acromegaly in 95% of patients. In rare circumstances, a pituitary adenoma on magnetic resonance imaging cannot be found; hence, a search for an ectopic source of GH production is done. Even rarer is an acromegalic patient without an ectopic source and without imaging evidence of pituitary adenoma. We report a case of acromegaly with no evidence of a pituitary adenoma and no evidence of an ectopic source after imaging studies; who underwent medical therapy with improving biochemical and clinical parameters.

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Author Biographies

Nicodemus Ong, Department of Internal Medicine, Cardinal Santos Medical Center
IM Resident
Rosa Allyn Sy, Endocrine, Metabolic and Diabetes Section, Cardinal Santos Medical Center
Consultant

References

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Published
2017-09-06
How to Cite
Ong, N., & Sy, R. A. (2017). “Overgrowth: Missing a Tumor” Acromegaly without Imaging Evidence of Pituitary Adenoma and No Ectopic Source: A Case Report. JAFES , 32(2), 173. Retrieved from https://www.asean-endocrinejournal.org/index.php/JAFES/article/view/419
Section
Case Reports