U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

TSH-secreting pituitary adenoma

MedGen UID:
87550
Concept ID:
C0346303
Neoplastic Process
Synonyms: Pituitary thyrotrophic adenoma; pituitary thyrotrophic adenoma; Thyroid Stimulating Hormone Producing Adenoma of Pituitary; thyroid stimulating hormone producing adenoma of pituitary; Thyroid Stimulating Hormone Producing Adenoma of Pituitary Gland; thyroid stimulating hormone producing adenoma of pituitary gland; Thyroid Stimulating Hormone Producing Adenoma of the Pituitary; thyroid stimulating hormone producing adenoma of the pituitary; Thyroid Stimulating Hormone Producing Adenoma of the Pituitary Gland; thyroid stimulating hormone producing adenoma of the pituitary gland; Thyroid Stimulating Hormone Producing Pituitary Adenoma; thyroid stimulating hormone producing pituitary adenoma; Thyroid Stimulating Hormone Producing Pituitary Gland Adenoma; thyroid stimulating hormone producing pituitary gland adenoma; Thyroid Stimulating Hormone Secreting Adenoma of Pituitary; thyroid stimulating hormone secreting adenoma of pituitary; Thyroid Stimulating Hormone Secreting Adenoma of Pituitary Gland; thyroid stimulating hormone secreting adenoma of pituitary gland; Thyroid Stimulating Hormone Secreting Adenoma of the Pituitary; thyroid stimulating hormone secreting adenoma of the pituitary; Thyroid Stimulating Hormone Secreting Adenoma of the Pituitary Gland; thyroid stimulating hormone secreting adenoma of the pituitary gland; Thyroid Stimulating Hormone Secreting Pituitary Adenoma; thyroid stimulating hormone secreting pituitary adenoma; Thyroid Stimulating Hormone Secreting Pituitary Gland Adenoma; thyroid stimulating hormone secreting pituitary gland adenoma; thyroid stimulating hormone-producing adenoma; thyroid stimulating hormone-secreting pituitary adenoma; Thyroid stimulating hormone-secreting pituitary adenoma; Thyrotrope Adenoma; thyrotrope adenoma; Thyrotroph adenoma; thyrotroph adenoma; Thyrotroph PitNET/Adenoma; Thyrotroph Pituitary Neuroendocrine Tumor; Thyrotroph Pituitary Neuroendocrine Tumor/Adenoma; thyrotrophic adenoma; Thyrotropin Producing Pituitary Gland Adenoma; thyrotropin producing pituitary gland adenoma; Thyrotropin-secreting pituitary adenoma; thyrotropinoma; TSH Producing Adenoma of Pituitary; TSH producing adenoma of pituitary; TSH Producing Adenoma of Pituitary Gland; TSH producing adenoma of pituitary gland; TSH Producing Adenoma of the Pituitary; TSH producing adenoma of the pituitary; TSH Producing Adenoma of the Pituitary Gland; TSH producing adenoma of the pituitary gland; TSH Producing Pituitary Adenoma; TSH producing pituitary adenoma; TSH Producing Pituitary Gland Adenoma; TSH producing pituitary gland adenoma; TSH Secreting Adenoma of Pituitary; TSH secreting adenoma of pituitary; TSH Secreting Adenoma of Pituitary Gland; TSH secreting adenoma of pituitary gland; TSH Secreting Adenoma of the Pituitary; TSH secreting adenoma of the pituitary; TSH Secreting Adenoma of the Pituitary Gland; TSH secreting adenoma of the pituitary gland; TSH Secreting Pituitary Adenoma; TSH secreting pituitary adenoma; TSH Secreting Pituitary Gland Adenoma; TSH secreting pituitary gland adenoma; TSH-oma; TSH-producing adenoma; TSH-Producing Pituitary Gland Adenoma; TSH-producing pituitary gland adenoma; TSHoma
SNOMED CT: Thyrotroph adenoma (254959007); TSH-oma (254959007); Thyrotropin-secreting pituitary adenoma (254959007)
 
Monarch Initiative: MONDO:0019611
Orphanet: ORPHA91347

Definition

A rare, functioning, pituitary adenoma characterized by the presence of a pituitary mass associated with high levels of circulating, free, thyroid hormones in conjunction with normal to high levels of TSH and unresponsiveness of TSH levels to TRH stimulation and T3 suppression tests, typically manifesting with signs and symptoms of mild to moderate hyperthyroidism (e.g. goiter (most frequently observed), palpitation, excessive sweating, arrhythmia, weight loss, tremor) and/or tumor mass effect (such as headache, visual field defects, hypopituitarism). Occasionally, cosecretion of prolactin and/or growth hormone may cause galactorrhea and/or acromegaly. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTSH-secreting pituitary adenoma
Follow this link to review classifications for TSH-secreting pituitary adenoma in Orphanet.

Professional guidelines

PubMed

Nazato DM, Abucham J
J Endocrinol Invest 2018 Apr;41(4):447-454. Epub 2017 Oct 11 doi: 10.1007/s40618-017-0770-3. PMID: 29022276
Dyer MW, Gnagey A, Jones BT, Pula RD, Lanier WL, Atkinson JLD, Pasternak JJ
J Neurosurg Anesthesiol 2017 Jul;29(3):341-346. doi: 10.1097/ANA.0000000000000325. PMID: 27322091
Araujo PB, Vieira Neto L, Gadelha MR
Endocrinol Metab Clin North Am 2015 Mar;44(1):181-97. Epub 2014 Nov 4 doi: 10.1016/j.ecl.2014.10.015. PMID: 25732654

Recent clinical studies

Etiology

Nazato DM, Abucham J
J Endocrinol Invest 2018 Apr;41(4):447-454. Epub 2017 Oct 11 doi: 10.1007/s40618-017-0770-3. PMID: 29022276
Dyer MW, Gnagey A, Jones BT, Pula RD, Lanier WL, Atkinson JLD, Pasternak JJ
J Neurosurg Anesthesiol 2017 Jul;29(3):341-346. doi: 10.1097/ANA.0000000000000325. PMID: 27322091
Azzalin A, Appin CL, Schniederjan MJ, Constantin T, Ritchie JC, Veledar E, Oyesiku NM, Ioachimescu AG
Pituitary 2016 Apr;19(2):183-93. doi: 10.1007/s11102-015-0697-7. PMID: 26689573
Yasuda A, Seki T, Oki M, Takagi A, Inomoto C, Nakamura N, Atsumi H, Baba T, Matsumae M, Sasaki N, Suzuki Y, Fukagawa M
Tokai J Exp Clin Med 2015 Jun 20;40(2):44-50. PMID: 26150183
Fukuhara N, Horiguchi K, Nishioka H, Suzuki H, Takeshita A, Takeuchi Y, Inoshita N, Yamada S
Endocr J 2015;62(1):21-7. Epub 2014 Oct 1 doi: 10.1507/endocrj.EJ14-0118. PMID: 25273395

Diagnosis

Ohba K
Int J Mol Sci 2021 Jun 21;22(12) doi: 10.3390/ijms22126611. PMID: 34205543Free PMC Article
Agrawal NK, Goyal R, Rastogi A, Naik D, Singh SK
Postgrad Med J 2008 Sep;84(995):473-7. doi: 10.1136/pgmj.2008.069740. PMID: 18940949
Losa M, Fortunato M, Molteni L, Peretti E, Mortini P
Minerva Endocrinol 2008 Dec;33(4):329-40. PMID: 18923369
Olateju TO, Vanderpump MP
Ann Clin Biochem 2006 Nov;43(Pt 6):431-40. doi: 10.1258/000456306778904678. PMID: 17132274
Beck-Peccoz P, Persani L, Mantovani S, Cortelazzi D, Asteria C
Metabolism 1996 Aug;45(8 Suppl 1):75-9. doi: 10.1016/s0026-0495(96)90089-x. PMID: 8769389

Therapy

Fukuhara N, Horiguchi K, Nishioka H, Suzuki H, Takeshita A, Takeuchi Y, Inoshita N, Yamada S
Endocr J 2015;62(1):21-7. Epub 2014 Oct 1 doi: 10.1507/endocrj.EJ14-0118. PMID: 25273395
Fujio S, Ashari, Habu M, Yamahata H, Moinuddin FM, Bohara M, Arimura H, Nishijima Y, Arita K
Endocr J 2014;61(11):1131-6. Epub 2014 Aug 12 doi: 10.1507/endocrj.ej14-0278. PMID: 25132171
Agrawal NK, Goyal R, Rastogi A, Naik D, Singh SK
Postgrad Med J 2008 Sep;84(995):473-7. doi: 10.1136/pgmj.2008.069740. PMID: 18940949
Losa M, Fortunato M, Molteni L, Peretti E, Mortini P
Minerva Endocrinol 2008 Dec;33(4):329-40. PMID: 18923369
Mixson AJ, Friedman TC, Katz DA, Feuerstein IM, Taubenberger JK, Colandrea JM, Doppman JL, Oldfield EH, Weintraub BD
J Clin Endocrinol Metab 1993 Feb;76(2):529-33. doi: 10.1210/jcem.76.2.8432799. PMID: 8432799

Prognosis

Yoon JH, Choi W, Park JY, Hong AR, Kim SS, Kim HK, Kang HC
BMC Endocr Disord 2021 Aug 30;21(1):177. doi: 10.1186/s12902-021-00839-x. PMID: 34461869Free PMC Article
Fu J, Wu A, Wang X, Guan H
Front Endocrinol (Lausanne) 2020;11:523. Epub 2020 Aug 6 doi: 10.3389/fendo.2020.00523. PMID: 32849306Free PMC Article
Nazato DM, Abucham J
J Endocrinol Invest 2018 Apr;41(4):447-454. Epub 2017 Oct 11 doi: 10.1007/s40618-017-0770-3. PMID: 29022276
Yasuda A, Seki T, Oki M, Takagi A, Inomoto C, Nakamura N, Atsumi H, Baba T, Matsumae M, Sasaki N, Suzuki Y, Fukagawa M
Tokai J Exp Clin Med 2015 Jun 20;40(2):44-50. PMID: 26150183
Glynn N, Agha A
Endocr Pract 2013 Jul-Aug;19(4):e88-91. doi: 10.4158/EP13036.CR. PMID: 23512395

Clinical prediction guides

Yoon JH, Choi W, Park JY, Hong AR, Kim SS, Kim HK, Kang HC
BMC Endocr Disord 2021 Aug 30;21(1):177. doi: 10.1186/s12902-021-00839-x. PMID: 34461869Free PMC Article
Shimatsu A, Nakamura A, Takahashi Y, Fujio S, Satoh F, Tahara S, Nishioka H, Takano K, Yamashita M, Arima H, Tominaga A, Tateishi S, Matsushita Y
Endocr J 2021 Jul 28;68(7):791-805. Epub 2021 Mar 11 doi: 10.1507/endocrj.EJ20-0707. PMID: 33692246
Tong A, Xia W, Qi F, Jin Z, Yang D, Zhang Z, Li F, Xing X, Lian X
Thyroid 2013 Sep;23(9):1172-7. Epub 2013 Aug 27 doi: 10.1089/thy.2012.0574. PMID: 23402621
Losa M, Giovanelli M, Persani L, Mortini P, Faglia G, Beck-Peccoz P
J Clin Endocrinol Metab 1996 Aug;81(8):3084-90. doi: 10.1210/jcem.81.8.8768879. PMID: 8768879
Nagai K, Sakata S, Wu CC, Wada H, Yokoyama K, Takada M, Kashiwai T, Tokimitsu N
Endocrinol Jpn 1992 Aug;39(4):413-9. doi: 10.1507/endocrj1954.39.413. PMID: 1446657

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...