{"id":"https://openalex.org/W2419856917","doi":null,"title":"Pituitary enlargement in post-surgical hypothyroidism misdiagnosed as thyrotroph neoplasia. Report of a case.","display_name":"Pituitary enlargement in post-surgical hypothyroidism misdiagnosed as thyrotroph neoplasia. Report of a case.","publication_year":1989,"publication_date":"1989-07-01","ids":{"openalex":"https://openalex.org/W2419856917","mag":"2419856917","pmid":"https://pubmed.ncbi.nlm.nih.gov/2622426"},"language":"en","primary_location":{"id":"pmid:2622426","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2622426","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Minerva endocrinologica","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010649029","display_name":"Salvatore Cannav\u00f2","orcid":"https://orcid.org/0000-0001-8779-7283","observed_orcids":["https://orcid.org/0000-0001-8779-7283"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Cannav\u00f2","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072189951","display_name":"L. Li Calzi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L Li Calzi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5102732019","display_name":"Fabio Trimarchi","orcid":"https://orcid.org/0000-0002-1859-6039","observed_orcids":["https://orcid.org/0000-0002-1859-6039"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"F Trimarchi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.33330119,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"14","issue":"3","first_page":"193","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10293","display_name":"Thyroid Disorders and Treatments","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10748","display_name":"Growth Hormone and Insulin-like Growth Factors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pituitary-enlargement","display_name":"pituitary enlargement","score":0.7929999828338623},{"id":"https://openalex.org/keywords/sella-turcica-enlargement","display_name":"sella turcica enlargement","score":0.7689999938011169},{"id":"https://openalex.org/keywords/trh-test","display_name":"TRH stimulation test","score":0.7089999914169312},{"id":"https://openalex.org/keywords/levothyroxine-suppression-therapy","display_name":"levothyroxine suppression therapy","score":0.7829999923706055},{"id":"https://openalex.org/keywords/multinodular-goiter","display_name":"multinodular goiter","score":0.7329999804496765},{"id":"https://openalex.org/keywords/subtotal-thyroidectomy","display_name":"subtotal thyroidectomy","score":0.9340000152587891},{"id":"https://openalex.org/keywords/galactorrhea","display_name":"galactorrhea","score":0.7269999980926514},{"id":"https://openalex.org/keywords/myxedema","display_name":"myxedema","score":0.7160000205039978}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9011921882629395},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7276999950408936},{"id":"https://openalex.org/C2777863693","wikidata":"https://www.wikidata.org/wiki/Q278515","display_name":"Galactorrhea","level":4,"score":0.721530556678772},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.7085580825805664},{"id":"https://openalex.org/C2775995038","wikidata":"https://www.wikidata.org/wiki/Q424238","display_name":"Domperidone","level":3,"score":0.5946670770645142},{"id":"https://openalex.org/C2776856834","wikidata":"https://www.wikidata.org/wiki/Q413581","display_name":"Bromocriptine","level":4,"score":0.5685255527496338},{"id":"https://openalex.org/C4134927","wikidata":"https://www.wikidata.org/wiki/Q7671336","display_name":"TRH stimulation test","level":4,"score":0.5345050096511841},{"id":"https://openalex.org/C2778024521","wikidata":"https://www.wikidata.org/wiki/Q55639806","display_name":"Basal (medicine)","level":3,"score":0.526390552520752},{"id":"https://openalex.org/C2776254400","wikidata":"https://www.wikidata.org/wiki/Q165135","display_name":"Goiter","level":3,"score":0.49501103162765503},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.4815147817134857},{"id":"https://openalex.org/C2777074255","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Thyroidectomy","level":3,"score":0.4767240583896637},{"id":"https://openalex.org/C2777658017","wikidata":"https://www.wikidata.org/wiki/Q156871","display_name":"Pituitary gland","level":3,"score":0.4529787302017212},{"id":"https://openalex.org/C2777428134","wikidata":"https://www.wikidata.org/wiki/Q272741","display_name":"Adenoma","level":2,"score":0.427243173122406},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.3975854516029358},{"id":"https://openalex.org/C2776216936","wikidata":"https://www.wikidata.org/wiki/Q24726011","display_name":"Thyrotropin-releasing hormone","level":3,"score":0.2974325120449066},{"id":"https://openalex.org/C2779064019","wikidata":"https://www.wikidata.org/wiki/Q66590068","display_name":"Prolactin","level":3,"score":0.25313588976860046},{"id":"https://openalex.org/C2779306644","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin","level":2,"score":0.12651795148849487},{"id":"https://openalex.org/C513476851","wikidata":"https://www.wikidata.org/wiki/Q170304","display_name":"Dopamine","level":2,"score":0.08991852402687073}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003951","descriptor_name":"Diagnostic Errors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007037","descriptor_name":"Hypothyroidism","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D007037","descriptor_name":"Hypothyroidism","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D007037","descriptor_name":"Hypothyroidism","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D010900","descriptor_name":"Pituitary Diseases","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D010900","descriptor_name":"Pituitary Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013965","descriptor_name":"Thyroidectomy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:2622426","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2622426","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Minerva endocrinologica","raw_type":"Case Reports"},{"id":"mag:2419856917","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2622426","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2413979432","https://openalex.org/W4250220469","https://openalex.org/W2007940094","https://openalex.org/W2078774763","https://openalex.org/W4232862566","https://openalex.org/W2399134847","https://openalex.org/W2069497970","https://openalex.org/W7160566820","https://openalex.org/W1966154964","https://openalex.org/W2093359642"],"abstract_inverted_index":{"Primary":[0],"hypothyroidism":[1,138],"may":[2,29],"be":[3],"associated":[4],"with":[5,52,57,103,136,270],"enlargement":[6],"of":[7,22,32,36,39,65,73,87,90,108,131,213,267,272],"the":[8,20,33,37,62,66,88,95,156,205,273],"sella":[9],"turcica,":[10],"due":[11,18,75],"to":[12,19,47,76,144,179],"thyrotroph":[13],"hyperplasia,":[14],"in":[15,61],"its":[16],"turn":[17],"lack":[21],"feedback":[23],"control":[24],"by":[25,141,155],"thyroid":[26,40],"hormones.":[27],"It":[28],"develop":[30],"independently":[31],"severity":[34],"or":[35,166],"duration":[38],"failure.":[41],"A":[42],"42-year-old":[43],"woman":[44],"was":[45,181,194,220],"referred":[46],"us.":[48],"She":[49,106],"presented":[50],"us":[51],"a":[53,58,223],"CT":[54,274],"scan":[55,275],"compatible":[56,135],"pituitary":[59],"microadenoma,":[60],"left":[63],"part":[64],"sella.":[67],"The":[68],"patient":[69,96],"showed":[70],"obvious":[71],"signs":[72],"myxedema,":[74],"subtotal":[77],"thyroidectomy":[78],"which":[79],"had":[80],"been":[81,98],"performed":[82],"14":[83],"months":[84],"before,":[85],"because":[86],"presence":[89],"multinodular":[91],"goiter.":[92],"After":[93],"operation,":[94],"has":[97],"discontinuously":[99],"and":[100,122,149,154,185,215,230,252],"inappropriately":[101],"treated":[102],"desiccated":[104],"thyroid.":[105],"complained":[107],"headache,":[109],"nausea,":[110],"galactorrhea":[111],"without":[112],"amenorrhea.":[113],"Serum":[114,192],"T4":[115],"(0.8":[116],"micrograms/dl),":[117],"serum":[118],"T3":[119],"(47":[120],"ng/dl)":[121],"TSH":[123,142,158,218],"(174.5":[124],"+/-":[125,129],"60.1":[126],"mU/l:":[127],"M":[128],"SD":[130],"4":[132,250],"assays)":[133],"were":[134,190],"primary":[137],"as":[139],"confirmed":[140],"hyper-response":[143],"i.v.":[145,150],"TRH":[146,180,216],"(200":[147,233,245],"micrograms)":[148],"domperidone":[151],"(10":[152],"mg),":[153],"normal":[157,206],"decrease":[159],"after":[160,222],"orally":[161],"administered":[162,241],"2.5":[163],"mg":[164],"bromocriptine":[165],"90":[167],"min":[168],"continuously":[169],"infused":[170],"800":[171],"micrograms":[172,227,234,246,258],"GHIRH.":[173],"Moreover,":[174],"an":[175],"abnormal":[176],"GH":[177],"response":[178],"observed,":[182],"whereas":[183],"basal":[184,214],"appropriately":[186],"stimulated":[187,217],"PRL":[188],"levels":[189],"normal.":[191],"alpha-subunit":[193],"marginally":[195],"high":[196],"(5.92":[197],"ng/ml),":[198],"but":[199],"alpha-subunit/TSH":[200],"molar":[201,209],"ratio":[202],"fell":[203],"within":[204],"range":[207],"(0.1":[208],"ratio).":[210],"Complete":[211],"suppression":[212],"values":[219],"achieved":[221],"14-day":[224],"L-T3":[225],"(120":[226],"per":[228,235,247,259],"day)":[229,236],"4-month":[231],"L-T4":[232,238],"administration.":[237],"treatment,":[239],"first":[240],"at":[242,254],"suppressive":[243],"doses":[244,256],"day":[248,260],"for":[249,261],"months)":[251],"subsequently":[253],"substitutive":[255],"(150":[257],"2":[262],"months),":[263],"induced":[264],"complete":[265],"remission":[266],"symptoms":[268],"along":[269],"normalization":[271],"picture.":[276]},"counts_by_year":[{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
