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Pituitary

, Volume 15, Supplement 1, pp 57–60 | Cite as

First demonstration of the effectiveness of peptide receptor radionuclide therapy (PRRT) with 111In-DTPA-octreotide in a giant PRL-secreting pituitary adenoma resistant to conventional treatment

  • S. Baldari
  • F. Ferraù
  • C. Alafaci
  • A. Herberg
  • F. Granata
  • V. Militano
  • F. M. Salpietro
  • F. Trimarchi
  • S. Cannavò
Case Report

Abstract

In prolactin-secreting giant adenomas, cabergoline treatment is the first line approach. Surgery and/or radiotherapy are indicated when the tumour is resistant to medical treatment and continues growing, causing visual field impairment. Data concerning other therapeutic approach are scanty. Although PRL-secreting tumours may express somatostatin receptors type 2, 3 and 5, somatostatin analogs treatment is generally ineffective and peptide receptor radionuclide therapy (PRRT) has never been reported. A 58 year-old woman complaining of severe neurological symptoms caused by a giant prolactinoma, relapsing after surgery and not-responding to dopamine-agonists and octreotide LAR treatment, underwent four cycles of PRRT with 111-Indium-DTPA-octreotide with remarkable tumour shrinkage and a significant improvement in clinical conditions. No side effects were reported. This is the first report on the effectiveness and safety of PRRT with radio-labelled somatostatin analogs in a patient with aggressive giant prolactinoma resistant to conventional treatment.

Keywords

Giant prolactinoma PRL-secreting pituitary adenoma Cabergoline resistance Peptide receptor radionuclide therapy 111Indium-DTPA-octreotide 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • S. Baldari
    • 1
  • F. Ferraù
    • 2
  • C. Alafaci
    • 3
  • A. Herberg
    • 1
  • F. Granata
    • 4
  • V. Militano
    • 1
  • F. M. Salpietro
    • 3
  • F. Trimarchi
    • 2
  • S. Cannavò
    • 2
  1. 1.Department of Radiological Sciences, Unit of Nuclear MedicineUniversity of MessinaMessinaItaly
  2. 2.Department of Medicine and Pharmacology, Section of EndocrinologyUniversity of MessinaMessinaItaly
  3. 3.Department of Neurological Sciences, Unit of NeurosurgeryUniversity of MessinaMessinaItaly
  4. 4.Department of Radiological SciencesUniversity of MessinaMessinaItaly

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