Reduction of pituitary-tumour size in patients with prolactinomas and acromegaly treated with bromocriptine with or without radiotherapy

Lancet. 1979 Jul 14;2(8133):66-9. doi: 10.1016/s0140-6736(79)90120-x.

Abstract

69 patients with prolactin-secreting or growth-hormone-secreting pituitary tumours were treated with bromocriptine with or without pituitary irradiation and followed up for 6 months to 6 1/2 years. Of 26 patients with prolactinomas, 11 had external pituitary irradiation in addition to bromocriptine. There was evidence of shrinkage of the pituitary tumour (either a reduction in fossa size or loss of visual-field defects) in 6 of these patients (23%), 3 of whom had been treated with bromocriptine alone. Of 43 acromegalic patients, 30 received external pituitary irradiation. 8 (19%) showed evidence of shrinkage of the pituitary tumour, including 2 who had received no radiotherapy. 1 patient treated with bromocriptine alone showed striking reduction in the size of his suprasellar extension, as assessed by serial computed-tomography scans over 11 months. At the same time his visual-field defects resolved and his deficient corticotrophin and thyrotrophin reserves returned to normal. Bromocriptine can reduce the size of both prolactin-secreting and growth-hormone-secreting pituitary tumours, and this is of potential importance in their management.

Publication types

  • Comparative Study

MeSH terms

  • Acromegaly / drug therapy*
  • Adult
  • Aged
  • Bromocriptine / therapeutic use*
  • Female
  • Follow-Up Studies
  • Growth Hormone / metabolism
  • Humans
  • Male
  • Middle Aged
  • Pituitary Irradiation
  • Pituitary Neoplasms / diagnostic imaging
  • Pituitary Neoplasms / drug therapy*
  • Pituitary Neoplasms / metabolism
  • Prolactin / metabolism*
  • Radiotherapy, High-Energy
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Bromocriptine
  • Prolactin
  • Growth Hormone