DOI: 10.36347/sjmcr.2019.v07i01.018

Pages: 59-61

Silent somatotropic adenomas are pituitary adenomas with immunohistochemical expression of growth hormone (GH), but without clinical signs of acromegaly, and for which GH and insulin-like growth factor-1 (IGF1) levels are normal or slightly increased. For these adenomas, only histopathological examination reveals positive immunostaining for GH. However, their exact frequency is not known. We report the case of a patient who showed no signs of acromegaly with normal IgF1 levels and in whom only the anatomopathological study allowed the postoperative diagnosis of silent somatotropic adenoma.