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Acromegaly : treatment and follow-up : the Leiden studies Biermasz, N.R.

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Acromegaly : treatment and follow-up : the Leiden studies

Biermasz, N.R.

Citation

Biermasz, N. R. (2005, November 2). Acromegaly : treatment and follow-up : the Leiden

studies. Retrieved from https://hdl.handle.net/1887/4334

Version:

Corrected Publisher’s Version

License:

Licence agreement concerning inclusion of doctoral thesis in the

Institutional Repository of the University of Leiden

Downloaded from:

https://hdl.handle.net/1887/4334

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CONTENTS

Introduction

1. General introduction 9

Outline of the thesis 21

Treatment outcome in acromegaly

2. Ten-year follow-up results of transsphenoidal microsurgery in acromegaly. J Clin Endocrinol Metab 2000; 85:4596-4602

27

3. Long -term follow-up results of postoperative radiotherapy in 36 patients with acromegaly. J Clin Endocrinol Metab 2000; 85:2476-2482

43 4. Radiotherapy is eff ective in reducing serum growth hormone concentration to

safe levels. Clin Endocrinol (Oxf ) 2000; 53:321-327

59

5. Direct postoperative and follow-up results of transsphenoidal surgery in 19 acromegalic patients pretreated with octreotide compared to those in untreated controls. J Clin Endocrinol Metab1999; 84:3551-3555

71

6. Sandostatin LAR in acromegaly: a 6-week injection interval suppresses growth hormone secretion as eff ectively as a 4-week interval.

Clin Endocrinol (Oxf ) 2003; 58:288-295

83

Clinical outcome in acromegaly

7. Determinants of survival in treated acromegaly in a single center: predictive value of serial insulin-like growth factor I measurements. J Clin Endocrinol Metab. 2004; 89:2789-2796

97

8. Decreased quality of life in patients with acromegaly despite long-term cure of growth hormone excess. J Clin Endocrinol Metab.2004; 89:5369-5376

113

9. Morbidity after long-term remission for acromegaly: persisting joint-related complaints cause reduced quality of life. J Clin Endocrinol Metab 2005; 90:2731-2739

131 10. Long-term maintenance of the anabolic eff ects of growth hormone (GH) on the

skeleton in cured patients with acromegaly. Eur J Endocrinol 2005; 152: 53-60

153

Dynamic tests in acromegaly

11. Intravenous octreotide test predicts the long-term outcome of

treatment with octreotide-long-acting repeatable in active acromegaly. Growth Horm IGF Res. 2005;15:200-206

167

12. Postoperative persistent thyrotropin releasing hormone (TRH)-induced growth hormone release predicts recurrences in patients with acromegaly. Clin Endocrinol (Oxf ) 2002; 56:313-319

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8 C o n te n ts

GH regulation during treatment and in rare cases of acromegaly

13. Octreotide represses secretory-burst mass and non-pulsatile secretion, but does not restore event frequency or orderly GH secretion in acromegaly. Am J Physiol Endocrinol Metab 2004; 286:E25-30

193

14. Acromegaly caused by growth hormone releasing hormone (GHRH)-producing tumors: Long-term observational studies in three patients. Submitted

207

Current pharmacotherapy

15. Current Pharmacotherapy for acromegaly: a review. Exp Opin Pharmacother, 2005, in press

229

Summary and Discussion

16. General Discussion and Conclusions 253 17. Summary, Nederlandse samenvatting 279

List of abbreviations 287

Nawoord 289

Curriculum Vitae 291

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