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, tumor consistency was reported to be an important predictive factor since hard consistency could impede transsphenoidal resection, especially in macroadenomas ( 8 ). Preoperative somatostatin receptor ligands (SRLs) treatment is proven to reduce GH and
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Neuroendocrinology Division – Instituto Estadual do Cérebro Paulo Niemeyer, Rio de Janeiro, Brazil
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patients have clinical contraindications or refuse to be submitted to surgery ( 4 , 10 ). Currently, there are three classes available for the treatment of acromegaly: somatostatin receptor ligands (SRLs), dopamine agonists, and GH receptor antagonist ( 4
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patient with mild biochemical persistence was treated with a somatostatin receptor ligand (SRL) resulting in normalisation of IGF-1. Of the two residual macrotumours, one was lost to follow-up and the other was managed with SRL with subsequent
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pegvisomant both improve insulin sensitivity ( 6 ), glucose metabolism may improve or worsen when patients are treated with first-generation somatostatin receptor ligands (SRLs), octreotide and lanreotide ( 7 , 8 , 9 , 10 ). Pasireotide is a somatostatin
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Introduction Pasireotide long-acting release is a multireceptor-targeted somatostatin receptor ligand (SRL) approved to treat adult patients with acromegaly ( 1 ). In patients, this second-generation SRL has been shown to be effective in
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acromegaly using current criteria of biochemical ‘cure’ . European Journal of Endocrinology 2005 379 – 387 . ( https://doi.org/10.1530/eje.1.01863 ) 3 Gadelha MR Wildemberg LE Bronstein MD Gatto F Ferone D . Somatostatin receptor ligands in
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-018-0865-7 ) 29344905 10.1007/s11102-018-0865-7 21 Cuevas-Ramos D Fleseriu M . Somatostatin receptor ligands and resistance to treatment in pituitary adenomas . Journal of Molecular Endocrinology 2014 52 R223 – R240 . ( https://doi.org/10.1530/JME-14-0011 ) 10
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Ferone D . Somatostatin receptor ligands in the treatment of acromegaly . Pituitary 2017 20 100 – 108 . ( https://doi.org/10.1007/s11102-017-0791-0 ) 10.1007/s11102-017-0791-0 28176162 17 Körner M Waser B Christ E Beck J Reubi JC . A critical
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Pituitary surgery, n 22 Pituitary radiotherapy, n 5 Medical treatment, n 20 Dopamine agonist, n 7 Somatostatin receptor ligands, n 20 GH receptor antagonist, n 4 Never treated, n 3
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, biochemical, radiological, vascular, cardiac, and sleep parameters in an unselected cohort of patients with acromegaly undergoing presurgical somatostatin receptor ligand therapy . Journal of Clinical Endocrinology and Metabolism 2013 1040 – 1050