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OCR: Hand prolactin ent) or pituitary Acromegalics have either m secreting tumours (thirty-fiv nical experience tumours that secrete GH alor disease ranging suggests that there is a spectr ve very large, ociated with very from young patients, who of who have much aggressively behaving tumo high levels of GH, to older p ession and smaller tumours with slower ailable in a single lower levels of GH. Often all modalities of treatment are n aggressive patient (Fig. 3.30), particularly tumours