Complications of acromegaly: thyroid and colon

Pituitary. 2017 Feb;20(1):70-75. doi: 10.1007/s11102-016-0744-z.

Abstract

Introduction: In acromegaly the long-term exposure to high growth hormone (GH) and insulin-like growth factor-1 (IGF-1) levels may result in specific complications in different human organs, including the thyroid gland and the colon.

Materials and methods: We will review here the evidence available regarding the characteristic thyroid and colon complications in acromegaly.

Results: This review summarizes the published data observing noncancerous structural abnormalities (thyroid nodules, colonic polyps) and thyroid and colon cancer in patients diagnosed with acromegaly.

Conclusion: Thyroid micro-carcinomas are probably over-diagnosed among acromegalic patients. In regard to colon cancer, there is no sufficient data to suggest that colon cancer risk is higher in acromegaly compared to the general population.

Keywords: Acromegaly; Colon; Thyroid.

Publication types

  • Review

MeSH terms

  • Acromegaly / complications*
  • Acromegaly / metabolism
  • Animals
  • Colon / metabolism
  • Colon / pathology*
  • Colonic Neoplasms / etiology
  • Colonic Neoplasms / metabolism
  • Humans
  • Thyroid Gland / metabolism
  • Thyroid Gland / pathology*
  • Thyroid Neoplasms / etiology
  • Thyroid Neoplasms / metabolism