What are TSH-Secreting Adenomas?

A thyrotrope adenoma is a pituitary tumor that makes thyroid stimulating hormone (TSH). TSH is normally secreted by the pituitary in order to control thyroid function. However, TSH secretion by these tumors stimulates the thyroid to make excessive thyroid hormones (T4 and T3), leading to hyperthyroidism. Symptoms of hyperthyroidism can include tremulousness, weight loss, heat intolerance, increased frequency of bowel movements, anxiety, and palpitations. Thyrotrope adenomas are an exceedingly rare type of pituitary tumors. The most common causes of hyperthyroidism are primary thyroid disorders, including Graves’ disease and thyroiditis, not pituitary tumors.

TSH-Secreting Adenomas: More Information

  • Symptoms of hyperthyroidism can include tremulousness, weight loss, heat intolerance, increased frequency of bowel movements, anxiety, and palpitations. In addition, if the tumor is large, patients with thyrotrope adenomas may experience symptoms that any patient with a large tumor in the pituitary area may experience, including headaches, visual loss, and/or deficiencies of other pituitary hormones.

  • A thyrotrope adenoma is a pituitary tumor that secretes TSH. These type of pituitary tumors are exceedingly rare.

  • Patients with TSH-secreting adenomas may experience symptoms of hyperthyroidism, including tremulousness, weight loss, heat intolerance, increased frequency of bowel movements, anxiety, and palpitations. These symptoms are reversible with treatment of the tumor.

  • TSH-secreting adenomas are diagnosed with appropriate endocrine testing in conjunction with a pituitary MRI revealing a pituitary tumor. In such cases, usually hormones made by the thyroid (T4 and T3) are elevated, but the TSH levels are not suppressed as would be expected in primary hyperthyroidism (hyperthyroidism caused by a disorder of the thyroid gland itself, not the pituitary).

  • The primary therapy for TSH-secreting adenomas is surgery. When surgery does not achieve remission, radiation and/or medical therapy options are available. Somatostatin analogs are the most effective medications currently available for this disorder.