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OCR: dolescence causes An excess of GH in childhod is not advanced. gigantism (Fig. 14.33), but bor nd a The pituitary fossa may enlar nt. Levels of GH GH-secreting tumour may be n constitutional s characterised by are raised, contrasting with le tall stature. Clinically, the dis growth of soft similar to those extremely rapid limb growth tissues, and metabolic change ents. Treatment observed in older acromegal GH secretion, is aimed at reducing the exce considered, as Possible treatment modalitie sts (such for acromegaly, include radic administration of dopamine nssphenoidal bromocriptine) or octreotide removal of tumour. See also: · Acromegaly