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• W4290726419 endingPage "1071" @default.
• W4290726419 startingPage "1071" @default.
• W4290726419 abstract "Functioning gonadotroph adenomas (FGAs) are rare tumors, as the overwhelming majority of gonadotroph tumors are clinically silent. Literature is based on case reports and small case series. Gonadotroph tumors are poorly differentiated and produce and secrete hormones inefficiently, but in exceptional cases, they cause clinical syndromes due to hypersecretion of intact gonadotropins. The clinical spectrum of endocrine dysfunction includes an exaggerated response of ovaries characterized as ovarian hyperstimulation syndrome (OHSS) in premenopausal females and adolescent girls, testicular enlargement in males, and isosexual precocious puberty in children. Transsphenoidal surgery and removal of tumor reduces hormonal hypersecretion, improves endocrine dysfunction, and provides tissue for further analysis. Medical therapies (somatostatin analogues, dopamine agonists, GnRH agonists/antagonists) are partially or totally ineffective in many cases, especially with respect to antitumor effect. This review aims to update recent literature on these rare functioning tumors and highlight their therapeutic management." @default.
• W4290726419 created "2022-08-09" @default.
• W4290726419 creator A5023291398 @default.
• W4290726419 creator A5050975713 @default.
• W4290726419 date "2022-08-08" @default.
• W4290726419 modified "2023-10-18" @default.
• W4290726419 title "Updating the Landscape for Functioning Gonadotroph Tumors" @default.
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