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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球大学医学会雑誌
  4. 10巻3-4号
  1. 部局別インデックス
  2. その他

[症例報告]下垂体腫瘤を形成した原発性甲状腺機能低下症の1治験例

http://hdl.handle.net/20.500.12000/0002015781
http://hdl.handle.net/20.500.12000/0002015781
9307b4be-8a12-4bef-8747-9bd2b48b0c34
名前 / ファイル ライセンス アクション
v10p180.pdf v10p180.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-06-30
タイトル
タイトル [症例報告]下垂体腫瘤を形成した原発性甲状腺機能低下症の1治験例
言語 ja
作成者 佐久田, 治

× 佐久田, 治

ja 佐久田, 治

六川, 二郎

× 六川, 二郎

ja 六川, 二郎

高良, 英一

× 高良, 英一

ja 高良, 英一

中田, 宗朝

× 中田, 宗朝

ja 中田, 宗朝

金城, 利彦

× 金城, 利彦

ja 金城, 利彦

外間, 朝哲

× 外間, 朝哲

ja 外間, 朝哲

Sakuta, Osamu

× Sakuta, Osamu

en Sakuta, Osamu

Mukawa, Jiro

× Mukawa, Jiro

en Mukawa, Jiro

Takara, Eiichi

× Takara, Eiichi

en Takara, Eiichi

Nakata, Munetomo

× Nakata, Munetomo

en Nakata, Munetomo

Kinjo, Toshihiko

× Kinjo, Toshihiko

en Kinjo, Toshihiko

Hokama, Asanori

× Hokama, Asanori

en Hokama, Asanori

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 hypothyroidism
言語 en
主題Scheme Other
主題 pituitary tumor
言語 en
主題Scheme Other
主題 hyperplasia
言語 en
主題Scheme Other
主題 magnetic resonance imaging(MRI)
内容記述
内容記述タイプ Other
内容記述 A 36-year-old woman suffered from headache and swelling of the face and limbs. Neurological examination revealed mild weakness and a prolonged relaxation phase of deep tendon reflexes. MRI(T1 weighted images : SE 500/30) showed pituitary enlargement extending to supraseller region. Serum T3 and T4 were low, and TSH was abnormally high. In anterior pituitary hormone assessment test, there was a notable increase in both TSH and prolactin concentrations by the administration of TRH. Thyroid replacement therapy was programmed without surgery, and the pituitary gland was checked by MRI. Within 3 months after the therapy serum T3 and T4 were normalized and TSH level was reduced. The pituitary gland was reduced in size from 17×10×18mm to 7 ×10×10mm measured by MRI. Characteristic MRI findings of our case was a round high intensity mass in the midline of the pituitary region in T1 weighted images(SE 500/30). Only 8 cases of pituitary regression by thyroid replacement therapy were reported in the literature. They were considered to be pituitary hyperplasia, rather than pituitary adenoma, caused by longstanding untreated hypothyroidism. Pituitary hyperplasia with hipothyroidism tend to be mistaken for pituitary adenoma, although endocrinological examination may be ruled it out. The first choice of the treatment for this type of pituitary mass should be thyroid replacement therapy unless the patient has a severe visual disturbance. If there is no regression of pituitary mass, then diagnosis is to be adenoma and surgery should be indicated.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球大学医学部
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10027430
収録物名
言語 ja
収録物名 琉球大学医学会雑誌 : 医学部紀要 = Ryukyu medical journal
書誌情報
巻 10, 号 3-4, p. 180-184
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