Somatostatin analogs in the treatment of acromegaly

Endocrinol Metab Clin North Am. 1992 Sep;21(3):737-52.

Abstract

Medical therapy of acromegaly with the somatostatin analog octreotide is very successful. Both clinical symptomatology and hormonal hypersecretion by the growth hormone-secreting pituitary adenomas are controlled, and peripheral IGF-I levels also return to near normal levels. Tumor shrinkage is observed in most patients. Somatostatin analogs can be used after noncurative surgery and for a limited period after radiotherapy, and octreotide pretreatment might improve the outcome of surgery.

Publication types

  • Review

MeSH terms

  • Acromegaly / drug therapy*
  • Adenoma / drug therapy
  • Adenoma / pathology
  • Adenoma / physiopathology
  • Growth Hormone / metabolism
  • Humans
  • Octreotide / administration & dosage
  • Octreotide / adverse effects
  • Octreotide / pharmacokinetics
  • Octreotide / therapeutic use
  • Pituitary Neoplasms / drug therapy
  • Pituitary Neoplasms / pathology
  • Pituitary Neoplasms / physiopathology
  • Receptors, Neurotransmitter / physiology
  • Receptors, Somatostatin
  • Somatostatin / analogs & derivatives*

Substances

  • Receptors, Neurotransmitter
  • Receptors, Somatostatin
  • Somatostatin
  • Growth Hormone
  • Octreotide