A middle-aged man is presented to the physician with a history of headache, increased sweating, tiredness, and sexual dysfunction. Further questioning revealed changes in hand size and symptoms compatible with carpal tunnel syndrome. On examination, the man showed facial features of acromegaly together with greasy skin and hypertension. His neurological examination was normal and he had no visual field defects.
The OGT test fails to suppress growth hormone production and a pituitary MRI confirms the presence of an adenoma, indicating that the patient’s symptoms are due to a growth hormone secreting pituitary tumor. What treatment would you suggest? *This case is from the Editorial team of Docplexus and is meant for educative purposes only. Source: Clinical Cases Uncovered, Endocrinology and Diabetes
