Hyperthyroidism caused by an ectopic TSH-secreting pituitary tumor

David S. Cooper, Bruch M. Wenig

Research output: Contribution to journalArticle

Abstract

A woman developed what appeared to be typical Graves' disease in 1965 at the age of 45 years. After 9 years of antithyroid drug therapy, she was treated with radioiodine. Ten years later (1985) she developed postablative hypothyroidism. Despite replacement doses of thyroxine that resulted in thyroid hormone levels that were in the hyperthyroid range, TSH levels remained elevated. Initial biochemical studies, including a high α-subunit to TSH ratio, suggested a pituitary TSH-secreting tumor, but a CT scan of the sella turcica was normal. In 1994, while undergoing an otolaryngologic examination, the patient was found to have a nasopharyngeal mass lesion, which was ultimately shown histologically and immunohistochemically to be an ectopic pituitary tumor. Resection of the mass restored TSH and α-subunit levels to normal. This patient probably represents the first ectopic TSH- secreting pituitary tumor to be reported.

Original languageEnglish (US)
Pages (from-to)337-343
Number of pages7
JournalThyroid
Volume6
Issue number4
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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