Lugol’s solution for preoperative management of a TSH/GH-secreting pituitary adenoma with suboptimal response to octreotide: a case report

This case highlights Lugol's solution as a rescue therapy for SSA-insensitive TSH/GH co-secreting pituitary adenomas. Despite SSTR2/5 positivity, suboptimal response to octreotide suggests tumor heterogeneity or downstream signaling defects. Preoperative Lugol's solution should be considered when SSAs and methimazole fail.

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Publication Details

Journal
Frontiers in Endocrinology
Published
2026-01-15
DOI
https://doi.org/10.3389/fendo.2025.1698948
Primary Topic
Pituitary Gland Disorders and Treatments
Type
article
Field-Weighted Citation Impact
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article

Lugol’s solution for preoperative management of a TSH/GH-secreting pituitary adenoma with suboptimal response to octreotide: a case report

Xiaotian Lei, Liu Chen, Guiliang Peng, Long Min et al.
Frontiers in Endocrinology
Pituitary Gland Disorders and Treatments
article

Lugol’s solution for preoperative management of a TSH/GH-secreting pituitary adenoma with suboptimal response to octreotide: a case report

Xiaotian Lei, Liu Chen, Guiliang Peng, Long Min, Feng Wu, Weiling Leng
article en

Abstract

This case highlights Lugol's solution as a rescue therapy for SSA-insensitive TSH/GH co-secreting pituitary adenomas. Despite SSTR2/5 positivity, suboptimal response to octreotide suggests tumor heterogeneity or downstream signaling defects. Preoperative Lugol's solution should be considered when SSAs and methimazole fail.

Frontiers in EndocrinologyVol. 16
Army Medical University (CN), Southwest Hospital (CN)
Good health and well-being
Openalex Percentile: Top 88%
Pituitary Gland Disorders and Treatments
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