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Clinical Endocrinology
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Macintosh Picture Format
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1995-08-22
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268KB
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443x610
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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