Document Detail


The value of the thyrotropin-releasing hormone test in patients with prolactin-secreting pituitary tumors and suprasellar non-pituitary tumors.
MedLine Citation:
PMID:  6781936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prolactin (PRL) response to thyrotropin-releasing hormone (TRH) (delta PRL) was normal in 7 (18%) of 38 patients with clinical evidence of a prolactinoma. A negative percentage correlation between basal PRL and delta PRL was found (P less than 0.05), but a percentage correlation between tumor size and delta PRL was absent. In a survey of literature concerning 548 patients, delta PRL after TRH administration amounted to 100% or more of the basal value in 11% of patients with clinical evidence of a prolactinoma and in 9% with an adenoma proven by surgery. Hyperprolactinemia was also present in 12 of our 21 patients (57%) with suprasellar tumors not related to pituitary tumors. In 7 of 11 of these hyperprolactinemic patients (64%), the PRL response to TRH was decreased. In conclusion, the TRH test may be helpful but is not decisive in the diagnostic work-up of hyperprolactinemia patients.
Authors:
J G Klijn; S W Lamberts; F H de Jong; J C Birkenhäger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  35     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1981 Feb 
Date Detail:
Created Date:  1981-05-13     Completed Date:  1981-05-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acromegaly / diagnosis
Diagnosis, Differential
Dose-Response Relationship, Drug
Female
Humans
Male
Neoplasms / secretion
Oligospermia / diagnosis
Pituitary Neoplasms / secretion*
Prolactin / blood,  secretion*
Sella Turcica / secretion*
Thyrotropin-Releasing Hormone / diagnostic use*,  pharmacology
Time Factors
Chemical
Reg. No./Substance:
24305-27-9/Thyrotropin-Releasing Hormone; 9002-62-4/Prolactin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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