Current approaches to the diagnostics and treatment of acromegaly


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Аннотация

Acromegaly is a severe chronic neuroendocrine disease that requires timely, adequate diagnosis and therapy. In the diagnosis of acromegaly, determination of the insulin-like growth factor-1 and growth hormone levels, as well as neuroimaging, play a key role. In the treatment of acromegaly, surgery is the best choice. In the absence of ability of surgical intervention or in the case of non-radicality of the surgical treatment, the pharmacotherapy is indicated. Somatostatin analogues (SSA) today are the most effective means of drug control of secretory and proliferative tumor activity. In the case of resistance to SSA, it is possible to transfer to another SSA, increase the dose of SSA, or add dopamine agonists and growth hormone receptor antagonists to the SSA.

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Авторлар туралы

Mikhail Antsiferov

Endocrinological Dispensary of the Moscow Healthcare Department

Email: antsiferov@rambler.ru
MD, Professor, Chief Moscow, Russia

T. Alekseeva

Endocrinological Dispensary of the Moscow Healthcare Department

Moscow, Russia

A. Andreeva

V.V. Veresaev City Clinical Hospital, Moscow Healthcare Department

Moscow, Russia

Әдебиет тізімі

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