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Macintosh Picture Format  |  1995-08-22  |  268KB  |  443x610  |  8-bit (74 colors)
Labels: hakham | sky
OCR: PATIENT MANAGEMENT IN ACROMEGALY intrasellar microadenoma extrasellar macroadenoma macroadenoma GH-secreting mixed GH and GH-secreting prolactin- secreting preoperative consider bromocriptine preoperative octreotide or octreotide bromocriptine to trv tn shrink tumour shrink tumour transsphenoidal surgery transsphenoidal/ transfrontal surgen 50% of serial mean serum GHE 5mu/l postoperatively serum GH levels mu/l mean level 5mu/l external beam radiotherapy effective cure medical treatment with Octreotide or provided bromocriptine until radiothery Is effective mean serum GH levels 5mu/l microadanoma macroacenoma transspl nenoidal Jevels eitactive treatmen bromocr iptine radlothery 5mul