Abstract
Recently the medical approach to patients with secreting and nonsecreting pituitary adenomas has received great impulse thanks to the availability of new somatostatin analogs provided with slow release, such as lanreotide (LAN) and octreotide-LAR (OCT-LAR). In acromegaly, disease control (GH≤2.5μg/l) as fasting value or ≤1μg/l after glucose load, together with age-normalized IGFI) is achievable in more than half patients under treatment with LAN and OCTLAR. Improvement of cardiomyopathy, sleep apnea and arthropathy has been reported during treatment with these somatostatin analogs. LAN displayed beneficial effects also in TSH-secreting adenomas, while the results of treatment with these peptides in patients with clinically nonfunctioning adenomas are still rather limited and controversial.
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References
Nabarro J.D.N. Acromegaly. Clin Endocrinol 1987; 26: 481–512.
Rajasoorya C., Holdaway I.M., Wrightson P., Scott D.J., Ibbertson H.K. Determinants of clinical outcome and survival in acromegaly. Clin Endocrinol 1994; 41: 95–102.
Melmed S., Ho K., Klibanski A., Reichlin S., Thorner M.O. Recent advances in pathogenesis, diagnosis and management of acromegaly. J Clin Endocrinol Metab 1995; 80:3395–3402.
Colao A., Merola B., Ferone D., Lombardi G. Acromegaly. J Clin Endocrinol Metab 1997; 82:2777–2781.
Colao A., Lombardi G. GH and PRL excess. Lancet 1998; 352:1455–1461.
Orme S.M., McNally R.J., Cartwright R.A., Belchetz P.E. Mortality and cancer incidence in acromegaly: a retrospective cohort study. United Kingdom Acromegaly Study Group. J Clin Endocrinol Metab 1998; 83: 2730–2734.
Giustina A., Barkan A., Casanueva F.F., Cavagnini F., Frohman L., Ho K., Veldhuis J., Wass J., Von Werder K., Melmed S. Criteria for cure of acromegaly: a consensus statement. J Clin Endocrinol Metab 2000; 85:526–529.
Melmed S., Jackson I., Kleinberg D., Klibanski A. Current treatment guidelines for acromegaly. J Clin Endocrinol Metab 1998; 83:2646–2652.
Ferone D., Colao A., van der Lely A-J., Lamberts S.W.J. Pharmacotherapy or Surgery as Primary Treatment for Acromegaly? Drugs 2000; 17: 81–92.
Newman C.B., Melmed S., George A., Torigian D., Duhaney M., Snyder P., Young W., Klibanski A., Molitch M.E., Gagel R., Sheeler L., Cook D., Malarkey W., Jackson I., Vance M.L., Barkan A., Frohman L., Kleinberg D.L. Octreotide as primary therapy for acromegaly. J Clin Endocrinol Metab 1998; 83: 3034–3040.
Freda P.U., Wardlaw S.L. Primary therapy of acromegaly. J Clin Endocrinol Metab 1998; 83:3031–3033
Colao A., Ferone D., Marzullo P., Di Samo A., Cerbone G., Sarnacchiaro F., Cirillo S., Merola B., Lombardi G. Effect of different dopaminergic agents in the treatment of acromegaly. J Clin Endocrinol Metab 1997; 82:518–523.
Abs R., Versholst J., Maiter D., Van Acker K., Nobels F., Coolens J.L., Mahler C., Beckers A. Cabergoline in the treatment of acromegaly: a study in 64 patients. J Clin Endocrinol Metab 1998; 83:374–378.
Cozzi R., Attanasio R., Barausse M., Dallabonzana D., Orlandi P., Da Re N., Branca V., Oppizzi G., Gelli D. Cabergoline in acromegaly: a renewed role for dopamine agonist treatment? Eur J Endocrinol 1998; 139:516–521.
Lamberts S.W.J., van der Lely A-J., de Herder W.W., Hofland L.J. Octreotide. N Engl J Med 1996; 334:246–254.
Lamberts S.W.J., Uitterlinden P., Verschoor L., van Dongen K.J., del Pozo E. Long-term treatment of acromegaly with the somatostatin analogue SMS 201-995. N Engl J Med 1985; 313:1576–1580.
Barkan A. Acromegalic arthropathy and sleep apnea. J Endocrinol 1997; 155:841–44.
Thuesen L., Christensen S.E., Weeke J., Ørskov H., Henningsen P. The cardiovascular effects of Octreotide treatment in acromegaly: an echocardiographic study. Clin Endocrinol 1989; 30: 619–625.
Pereira J.L., Rodriguez-Puras M.J., Leal-Cerro A., Martinez A., Garcia-Luna P.P., Gavilan I., Pumar A., Astorga R. Acromegalic cardiopathy improves after treatment with increasing doses of Octreotide. J Endocrinol Invest 1991; 14: 17–23
Lim M.J., Barkan A.L., Buda A.J. Rapid reduction of left ventricular hypertrophy in acromegaly after suppression of growth hormone hypersecretion. Ann Intern Med 1992; 117:719–726.
Merola B., Cittadini A., Colao A., Ferone D., Fazio S., Sabatini D., Biondi B., Saccà L., Lombardi G. Chronic treatment with the somatostatin analog Octreotide improves cardiac abnormalities in acromegaly. J Clin Endocrinol Metab 1993; 77: 790–3.
Chanson P., Timsit J., Masquet C., Warnet A., Guillausseau P.J., Birman P., Harris A.G., Lubetzki J. Cardiovascular effects of the somatostatin analog octreotide in acromegaly. Ann Intern Med 1990; 113: 921–925.
Colao A., Cuocolo A., Marzullo P., Nicolai E., Ferone D., Florimonte L., Salvatore M., Lombardi G. Effects of one-year treatment with octreotide on cardiac performance in patients with acromegaly. J Clin Endocrinol Metab 1999; 84: 17–23.
Colao A., Cuocolo A., Marzullo P., Nicolai E., Ferone D., Della Morte A.M., Pivonello R., Salvatore M., Lombardi G. Is the acromegalic cardiomyopathy reversible? Effect of 5 year normalization of growth hormone and insulin-like growth factor-I levels on cardiac performance. J Clin Endocrinol Metab 2001; 86: April
Waine H., Bennet G.A., Bauer, W. Joint disease associated with acromegaly. Am J Med Sci 1945; 209: 671–678.
Kellgren J.H., Ball, J., Tutton, G.K. The articular and other limb changes in acromegaly. Q J Med 1952; 21: 405–423.
Bluestone R., Bywaters E., Hartog M., Holt P.J.L., Hyde S. Acromegalic arthropathy. Ann Rheum Dis 1971; 30: 43–258.
Colao A., Marzullo P., Vallone G., Marinò V., Annecchino M., Ferone D., De Brasi D., Scarpa R., Oriente P., Lombardi G. Reversibility of joint thickening in acromegalic patients: an ultrasonography study. J Clin Endocrinol Metab 1998; 83:2121–2125
Colao A., Marzullo P., Spiezia S., Ferone D., Giaccio A., Cerbone G., Pivonello R., Di Somma C., Lombardi G. Effect of growth hormone (GH) and insulin-like growth factor-I on prostate diseases: an ultrasonographic and endocrine study in acromegaly, GH-deficiency and healthy subjects. J Clin Endocrinol Metab 1999; 84: 1986–1991.
Colao A., Marzullo P., Ferone D., Spiezia S., Cerbone G., Marinò V., Di Sarno A., Lombardi G. Prostatic hyperplasia: an unknown feature of acromegaly. J Clin Endocrinol Metab 1998; 83:2606–2607.
Morange I., de Boisvilliers F., Chanson P., Lucas B., DeWailly D., Catus F., Thomas F., and Jaquet P.: Slow release lanreotide treatment in acromegalic patients previously normalized by octreotide. J Clin Endocrinol Metab 1994; 79:145–151.
Giusti M., Gussoni G., Cuttica C.M., Giordano G., and the Italian Multicenter Slow Release Lanreotide Study Group: Effectiveness and tolerability of slow release lanreotide treatment in active acromegaly; six month report on an Italian multicenter study. J Clin Endocrinol Metab 1996; 81:2089–2097.
Colao A., Marzullo P., Ferone D., Marinò V., Pivonello R., Di Somma C., Di Sarno A., Giaccio A., Lombardi G.: Effectiveness and tolerability of slow release lanreotide treatment in active acromegaly. J Endocrinol Invest 1999; 22: 40–47.
Suliman M., Jenkins R., Ross R., Powell T., Battersby R., Cullen D.R. Long-term treatment of acromegaly with the somatostatin analogue SR-lanreotide. J Endocrinol Invest 1999 22: 409–418.
Cannavò S., Squadrito S., Curto L., Almoto B., Vieni A., Trimarchi F. Results of a two year treatment with slow-release lanreotide. Horm Metab Res 2000; 32: 224–9.
Verhelst J.A., Pedroncelli A.M., Abs R., Montini M., Vanderweghe M.V., Albani G., Mailer D., Pagani M.D., Legros J.J., Gianola D., Bex M., Pop Mockel J., Pagani G. Slow-release lanreotide in the treatment of acromegaly: a study in 66 patients. Eur J Endocrinol 2000; 143: 577–584.
Caron P., Morange-Ramos I., Cogne M., and Jaquet P. Three year follow up of acromegalic patients treated with intramuscular slow-release lanreotide. J Clin Endocrinol Metab 1997; 82:18–22
Baldelli R., Colao A., Razzore P., Jaffrain-Rea M-L., Marzullo P., Ciccarelli E., Ferretti E., Ferone D., Gaia D., Camanni F., Lombardi G., Tamburrano G. Two-year follow-up of acromegalic patients treated with SR-lanreotide 30 mg. J Clin Endocrinol Metab 2000; 85: 4099–4103.
Baldelli R., Ferretti E., Jaffrain-Rea M.L., Iacobellis G., Minniti G., Caracciolo B., Moroni C., Cassone R., Gulino A., Tamburrano G. Cardiac effects of slow-release lanreotide, a slow-release somatostatin analog, in acromegalic patients. J Clin Endocrinol Metab 1999; 84:575–532.
Hradec J., Kral J., Janota T., Krsek M., Hana V., Marek J., Malik M. Regression of acromegalic left ventricular hypertrophy after lanreotide (a slow release somatostatin analog). Am J Cardiol 1999; 83: 1506–1509.
Colao A., Marzullo P., Vallone G., Giaccio A., Ferone D., Scarpa R., Rossi E., Smaltino F., Lombardi G. Ultrasonographic evidence of joint thickening reversibility in acromegalic patients treated with lanreotide for 12 months. Clin Endocrinol 1999; 51:611–618.
Colao A., Marzullo P., Spiezia S., Giaccio A., Ferone D., Cerbone G., Di Sarno A., Lombardi G. Effect of two years of growth hormone-insulin-like growth factor-I suppression on prostate diseases in acromegalic patients. J Clin Endocrinol Metab 2000; 85: 3754–3761.
Manelli F., Desenzani P., Boni E., Bugari G., Negrini F., Romanelli G., Grassi V., Giustina A. Cardiovascular effects of a single slow release lanreotide injection in patients with acromegaly and left ventricular hypertrophy. Pituitary 1999; 2:205–10.
Manelli F., Bossoni S., Burattin A., Doga M., Solerte S.B., Romanelli G., Giustina A. Exercise-induced microalbuminuria in patients with active acromegaly: acute effects of slow-release lanreotide, a long-acting somatostatin analog. Metabolism 2000; 49:634–9.
Caron P., Beckers A., Cullen D.R., Goth M.I., Gutt B., Laurberg P., Pico A.M., Valimaki M., Zgliczynski W. Efficacy of the new long-acting formulation of lanreotide (lanreotide Autogel) in the management of acromegaly. J Clin Endocrinol Metab. 2002; 87:99–104.
Gillis J.C., Noble S., Goa K.L. Octreotide long-acting release (LAR). A review of its phamacological properties and therapeutic use in the management of acromegaly. Drugs 1997;53:681–699.
Stewart P.M., Kane K.F., Stewart S.E., Lancranjan I., Sheppard M.C. Depot long-acting somatostatin analog (Sandostatin-LAR) is an effective treatment for acromegaly. J Clin Endocrinol Metab 1995; 80:3267–3272.
Flogstad A., Halse J., Bakke S., Lancranjan I., Marbach P., Bruns C., Jervell J. Sandostatin LAR in acromegalic patients: long term treatment. J Clin Endocrinol Metab 1997; 82:23–28
Lancranjan I., Atkinson A.B. and the Sandostatin® LAR® group. Results of a European multicenter study with Sandostatin® LAR® in acromegalic patients. Pituitary 1999; 1: 105–114.
Colao A., Ferone D., Marzullo P., Cappabianca P., Cirillo S., Boerlin V., Lancranjan I., Lombardi G. Long-term effects of depot long-acting somatostatin analog octreotide on hormone levels and tumor mass in acromegaly. J Clin Endocrinol Metab 2001; 86: in press
Bevan J.S., Atkin S.L., Atkinson A.B., Bouloux P.M., Hanna F., Harris P.E., James R.A., McConnell M., Roberts G.A., Scanlon M.F., Stewart P.M., Teasdale E., Turner H.E., Wass J.A., Wardlaw J.M. Primary medical therapy for acromegaly: an open, prospective, multicenter study of the effects of subcutaneous and intramuscular slow-release octreotide on growth hormone, insulin-like growth factor-I, and tumor size. J Clin Endocrinol Metab. 2002; 87:4554–63.
Colao A., Marzullo P., Ferone D., Spinelli L., Cuocolo A., Bonaduce D., Salvatore M., Boerlin V., Lancranjan I., Lombardi G. Cardiovascular effects of depot long-acting somatostatin analog Sandostatin LAR® in acromegaly. J Clin Endocrinol Metab 2000; 86: 3132–3140.
Colao A., Marzullo P., Cuocolo A., Spinelli L., Pivonello R., Bonaduce D., Salvatore M., Lombardi G. Reversal of acromegalic cardiomyopathy in young but not in middle-aged patients after 12 months of treatment with the depot long-acting somatostatin analogue octreotide. Clin Endocrinol (Oxf). 2003; 58:169–76.
Moschetta A., Stolk M.F., Rehfeld J.F., Portincasa P., Slee P.H., Koppeschaar H.P., Van Erpecum K.J., Vanberge-Henegouwen G.P. Severe impairment of postprandial cholecystokinin release and gall-bladder emptying and high risk of gallstone formation in acromegalic patients during Sandostatin LAR. Aliment Pharmacol Ther 2001; 15:181–185.
Kendall-Taylor P., Miller M., Gebbie J., Turner S., al-Maskari M. Long-acting octreotide LAR compared with lanreotide SR in the treatment of acromegaly. Pituitary 2000; 3:61–5.
Chanson P., Boerlin V., Ajzenberg C., Bachelot Y., Benito P., Bringer J., Caron P., Charbonnel B., Cortet C., Delemer B., Escobar-Jimenez F., Foubert L., Gaztambide S., Jockenhoevel F., Kuhn J.M., Leclere J., Lorcy Y., Perlemuter L., Prestele H., Roger P., Rohmer V., Santen R., Sassolas G., Scherbaum W.A., Schopohl J., Torres E. Comparison of octreotide acetate LAR and lanreotide SR in patients with acromegaly. Clin Endocrinol 2000; 53:577–86
Marzullo P., Ferone D., Di Somma C., Pivonello R., Filippella M., Lombardi G., Colao A Efficacy of combined treatment with lanreotide and cabergoline in selected therapy-resistant acromegalic patients. Pituitary 1999; 1:115–20
Rocheville M., Lange D.C., Kumar U., Patel S.C., Patel R.C., Patel Y.C. Receptors for dopamine and somatostatin: formation of hetero-oligomers with enhanced functional activity. Science 2000; 288:154–157.
Spinas G.A., Zapf J., Landolt A.M., Stuckmann G., Froesch E.R. Pre-operative treatment of 5 acromegalics with a somatostatin analogue: endocrine and clinical observations. Acta Endocrinol 1987; 114:249–256.
Barkan A., Lloyd R.V., Chandler W.F. Preoperative treatment of acromegaly with long-acting somatostatin analog SMS 201-995: shrinkage of invasive pituitary macroadenomas and improved surgical remission rate. J Clin Endocrinol Metab 1988; 67:1040–1048.
Stevenaert A., Harris A.G., Kovacs K., Beckers A. Presurgical octreotide treatment in acromegaly. Metabolism 1992; 41:51–58.
Lucas Morante T., Garcia Uria L., Estrada J., Saucedo G., Cabello A., Alcaniz. J., and Barcelo B. Treatment of invasive growth hormone pituitary adenomas with long-acting somatostatin analog SMS 210–995 before transsphenoidal surgery. J Neurosurg 1994; 81: 10–14.
Waśko R., Ruchala M., Sawicka J., Kotwocka M., Liebert W., Sowiński J. Short-term pre-surgical treatment with somatostatin analogues, octreotide and lanreotide, in acromegaly. J Endocrinol Invest 2000; 23: 12–18.
Plockinger U., Reichel M., Fett U., Saeger W., Quabbe H-J. Preoperative octreotide treatment of growth hormone-secreting and clinically nonfunctioning pituitary macroadenomas: Effects on tumor volume and lack of correlation with immunohistochemistry and somatostatin receptor scintigraphy. J Clin Endocrinol Metab 1994; 79:1416–1423.
Ezzat S., Horvath E., Harris A.G., Kovacs K. Morphological effects of octreotide on growth hormone-producing pituitary adenomas. J Clin Endocrinol Metab 1994; 79:113–118.
Biermasz N.R., van Dulken H., Roelfsema F. Direct postoperative and follow-up results of transsphenoidal surgery in 19 acromegalic patients pretreated with octreotide compared to those in untreated matched controls. J Clin Endocrinol Metab 1999; 84:3551–5
Colao A., Ferone D., Cappabianca P., de Caro M.L., Marzullo P., Monticelli A., Alfieri A., Merola B., Calì A., de Divitiis E., Lombardi G. Effect of octreotide pretreatment on surgical outcome in acromegaly. J Clin Endocrinol Metab 1997;82:3308–3314.
Bates A., vant’Hoff W., Jones J., Clayton R. An audit of outcome of treatment in acromegaly. Q J Med 1993; 86;293–299.
Jenkins P.J., Akker S., Chew S.L., Besser G.M., Monson J.P., Grossman A.B. Optimal dosage interval for depot somatostatin analogue therapy in acromegaly requires individual titration. Clin Endocrinol 2000 53:719–724
Afargan M., Janson E.T., Gelerman G., Rosenfeld R., Ziv O., Karpov O., Wolf A., Bracha M., Shohat D., Liapakis G., Gilon C., Hoffman A., Stephensky D., Oberg K. Novel Long-Acting Somatostatin Analog with Endocrine Selectivity: Potent Suppression of Growth Hormone But Not of Insulin. Endocrinology 2001; 142:477–486
Trainer P.J., Drake W.M., Katznelson L., Freda P.U., Herman-Bonert V., van der Lely A-J., Dimaraki E.V., Stewart P.M., Friend K.E., Vance M.L., Besser G.M., Scarlett J. A., Thorner M.O., Parkinson C., Klibanski A., Powell J.S., Barkan A.L., Sheppard M.C., Malsonado M., Rose D.R., Clemmons D.R., Johannsson G., Bengtsson B.A., Stavrou S., Kleinberg D.L., Cook D.M., Phillips L.S., Bidlingmaicr M., Strasburgcr C.J., Hackett S., Zib K., Bennett W.F., and Davis R.J. Treatment of acromegaly with the growth hormone-receptor antagonist pegvisomant. N Engl J Med 2000; 342:1171–7
Herman-Bonert V.S., Zib K., Scarlett J. A., Melmed S. Growth hormone receptor antagonist therapy in acromegalic patients resistant to somatostatin analogs. J Clin Endocrinol Metab 2000; 85:2958–61
Kaal A., Orskov H., Nielsen S., Pedroncelli A.M., Lancranjan I., Marbach P., Weeke J. Occurrence and effects of octreotide antibodies during nasal, subcutaneous and slow release intramuscular treatment. Eur J Endocrinol 2000; 143:353–61
Beck-Peccoz P., Brucker-Davis F., Persani L., Smallridge R.C., Weintraub B.D. Thyrotropin-secreting pituitary tumors. Endocr Rev 1996;17:610–638.
Brucker-Davis F., Oldfield E.H., Skarulis M.C., Doppman J.L., Weintraub B.D. Thyrotropin-secreting pituitary tumors: diagnostic criteria, thyroid hormone sensitivity, and treatment outcome in 25 patients followed at the National Institute of Health. J Clin Endocrinol Metab 1999; 84:476–486.
Smallridge R.C. Thyrotropin-secreting pituitary tumors. Endocrinol Metab. 1987; 16:765–791.
Mc Cutcheon I.E., Weintraub B.D., Oldfield E.H. Surgical treatment of thyrotropin secreting adenomas. J Neurosurg. 1990; 73:674–683.
Losa M., Giovanelli M., Persani L., Mortini P., Faglia G., Beck-Peccoz P. Criteria of cure and follow-up of central hyperthyroidism due to thyrotropin-secreting pituitary adenomas. J Clin Endocrinol Metab 1996; 81:3084–3090.
Chanson P., Weintraub B.D., Harris A.G. Treatment of TSH-secreting pituitary adenomas with octreotide: a follow-up of 52 patients. Ann Intern Med 1993; 119:236–240.
Siler T.M., Yen S.S.C., Vale W., Guillemin R. Inhibition by somatostatin of the release of TSH induced in man by thyrotropin-releasing factor. J Clin Endocrinol Metab. 1974; 38:742–745.
Weeke J., Hansen A.P., Lundaek K. Inhibition by somatostatin of basal levels of serum thyrotropin (TSH) in normal men. J Clin Endocrinol Metab. 1975; 41:168–171
Reschini E., Giustina G., Cantalemessa L., Peracchi M. Hyperthyroidism with elevated plasma TSH levels and pituitary tumor: study with somatostatin. J Clin Endocrinol Metab. 1976; 46:924–927.
Losa M., Magnani P., Mortini P., Persani L., Acerno S., Giugni E., Songini C., Fazio F., Beck-Peccoz P., Giovanelli M. Indium-11l pentetreotide single-photon emission tomography in patients with TSH-secreting pituitary adenomas: correlation with the effect of a single administration of octreotide on serum TSH levels. Eur J Nucl Med 1997; 24:728–731.
Christensen S.E., Weeke J., Kaal A., Harris A.G., Orskov H. SMS 201–995 and thyroid function in acromegaly: acute, intermediate and long-term effects. Horm Metab Res. 1992; 24:237–239.
Beck-Peccoz P., Mariotti S., Guillausseau P.J. et al. Treatment of thyrotropin with the somatostatin analog SMS 201–295 J Clin Endocrinol Metab. 1989; 68:208–214.
Chanson P., Warnet A. Treatment of thyroid-stimulating hormone-secreting adenomas with octreotide. Metabolism. 1992; 4:62–65.
Comi R.J., Gesundheit N., Murray L., Gorden P., Weintraub B.D. Response of thyrotropin-secreting pituitary adenomas to a long-acting somatostatin analogue. N Engl J Med. 1992; 317:12–17.
Gesundheit N, Petrik PA, Nissim M, et al. Thyrotropin-secreting pituitary adenomas: clinical and biochemical heterogeneity. Ann Intern Med. 1989; 111:827–835
Guillausseau PJ, Chanson P, Timsit J, et al. Visual improvement with SMS 201-995 in a patient with a thyrotropin-secreting adenoma. N Engl J Med. 1987; 317:53–54.
Warnet A, Lajeunie E, Gelbert F, et al. Shrinkage of a primary thyrotropin-secreting pituitary adenoma treated with the long-acting somatostatin analogue octreotide (SMS 201-995). Acta Endocrinol (Copenh). 1991; 124:487–491
Wemeau L, Dewailly D, Leroy R, et al. Long term treatment with a somatostatin analog SMS 201-995 in a patient with a thyrotropin and growth hormone-secreting pituitary adenoma. J Clin Endocrinol Metab. 1988; 66:636–639.
Gancel A., Vuillermet P., Legrand A., Catus F., Thomas F., Kuhn J.M. Effects of a slow-release formulation of the new somatostatin analogue lanreotide in TSH-secreting pituitary adenomas. Clin Endocrinol 1994; 40:421–428.
Kuhn J.M., Arlot S., Lefebvre H., Caron P., Cortet-Rudelli C., Archambaud F., Chanson P., Tabarin A., Goth M.I., Blumberg J., Catus F., Ispas S., Beck-Peccoz P. Evaluation of the Treatment of Thyrotropin-Secreting Pituitary Adenomas with a Slow Release Formulation of the Somatostatin Analog Lanreotide J Clin Endocrinol Metab 2000; 851487–1491
Katnelson L., Alexander J.M., Klibanski A. Clinically nonfunctioning pituitary adenomas. J Clin Endocrinol Metab 1993; 76:1089–1094.
Freda P.U., Wardlaw S.L. Diagnosis and treatment of pituitary tumors. J Clin Endocrinol Metab 1999; 84:3859–3866.
Ikuyama S., Nawata H., Kato K., Karashima T., Ibayashi H., Nakagaki H. Specific somatostatin receptors on human pituitary adenoma cell membranes. J Clin Endocrinol Metab 1985; 61: 98–103
Reubi J.C., Heitz P.U., Landolt A.M. Visualization of somatostatin receptors and correlation with immunoreactive growth hormone and prolactin in human pituitary adenomas: evidence for different tumor subclasses. J Clin Endocrinol Metab 1987; 65: 65–73.
Greenman Y., Melmed S. Heterogeneous expression of two somatostatin receptor subtypes in pituitary tumors. J Clin Endocrinol Metab 1994; 78: 398–403.
Faglia G., Bazzoni N., Spada A., Arosio M., Ambrosi B., Spinelli F., Sara R., Bonino C., Lunghi F. In vivo detection of somatostatin receptors in patients with functionless pituitary adenomas by means of a radio-iodinated analog of somatostatin [(123 I)SDZ204-090]. J Clin Endocrinol Metab 1991;73:850–856.
Plockinger U, Reichel M., Fett U., Saeger W., Quabbe H.J. Preoperative octreotide treatment of growth hormone-secreting and clinically nonfunctioning pituitary macroadenomas: effect on tumor volume and lack of correlation with immunohistochemistry and somatostatin receptor scintigraphy. J Clin Endocrinol Metab 1994; 79:1416–1423.
Lamberts S.W.J., de Herder W.W., van der Lely A.J., Hofland L.J. Imaging and medical management of clinically nonfunctioning pituitary tumors. Endocrinologist 1995; 5: 448–451.
Colao A., Lastoria S., Ferone D., Varrella P., Marzullo P., Pivonello R., Cerbone G., Acampa W., Salvatore M, Lombardi G. Pituitary uptake of In-111-DTPA-D-Phe1-0Ctreotide in the normal pituitary and in pituitary adenomas. J Endocrinol Invest 1999; 22: 176–183
Borson-Chazot F., Houzard C., Ajzenberg C., Nocaudie M., Duet M., Mundler O., Marchandise X., Epelbaum J., Gomez De Alzaga M., Schafer J., Meyerhof W., Sassolas G., Warnet A. Somatostatin receptor imaging in somatotroph and non-functioning pituitary adenomas: correlation with hormonal and visual responses to octreotide. Clin Endocrinol 1997; 47: 589–598.
Warnet A., Harris A.G., Renard E., Martin D., James-Deidier A., Chaumet-Riffaud P., and the French multicenter octreotide study group: A prospective multicenter trial of octreotide in 24 patients with visual defects caused by nonfunctioning and gonadotropin-secreting pituitary adenomas. Neurosurgery 1997;41:786–797.
Gasperi M., Petrini L., Pilosu R., Nardi M., Marcello A.A., Mastio F., Bartalena L., Martino E. Octreotide treatment does not affect the size of most non-functioning pituitary adenomas. J Endocrinol Invest 1993; 16:541–543.
De Bruin T.W.A., Kwekkeboom D.J., van’t Verlaat J.W., Reubi J.C., Krenning E.P., Lamberts S.W., Croughs R.J. Clinically nonfunctioning pituitary adenoma and octreotide response to long term high dose treatment, and studies in vitro. J Clin Endocrinol Metab. 1992;75.1310–1317.
Klibanski A., Alexander J.M., Bikkal H.A., Hsu D.W., Swearingen B., Zervas N.T. Somatostatin regulation of glycoprotein hormone and free subunit secretion in clinically nonfunctioning and somatotroph adenomas in vitro. J Clin Endocrinol Metab 1991; 73: 1248–1255.
Katznelson L., Oppenheim D.S., Coughlin J.F., Kliman B., Schoenfeld D.A., and Klibanski A. Chronic somatostatin analog administration in patients with a-subunit-secreting pituitary tumors. J Clin Endocrinol Metab 1992; 75: 1318–1325.
Andersen M., Bjerre P., Schrøder H.D., Edal A., Høilund-Carlsen P.F., Pedersen P.H., Hagen C. In vivo secretory potential and the effect of combination therapy with octreotide and cabergoline in patients with clinically non-functioning pituitary adenomas: Clin Endocrinol 2001; 54: 23–30
Florio T., Thellung S., Arena S., Corsaro A., Spaziante R., Gussoni G., Acuto G., Giusti M., Giordano G., Schettini G. Somatostatin and its analog lanreotide inhibit the proliferation of dispersed human non-functioning pituitary adenoma cells in vitro. Eur J Endocrinol 1999:141:396–408
Saveanu A., Gunz G., Dufour H., Caron P., Fina F., Ouafik L., Culler M.D., Moreau J.P., Enjalbert A., Jaquet P. BIM-23244, a somatostatin receptor subtype 2-and 5-selective analog with enhanced efficacy in suppressing growth hormone (GH) from octreotide-resistant GH-secreting adenomas. J Clin Endocrinol Metab 2001; 86:140–145.
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Colao, A. (2004). Somatostatin Analogs in the Treatment of Pituitary Tumors. In: Srikant, C.B. (eds) Somatostatin. Endocrine Updates, vol 24. Springer, Boston, MA. https://doi.org/10.1007/1-4020-8033-6_14
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DOI: https://doi.org/10.1007/1-4020-8033-6_14
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