Effect of hypophysectomy on the growth hormone response to insulin-induced hypoglycaemia

Plasma growth hormone (GH) levels were measured in 55 patients with advanced breast cancer, before and 3 months after pituitary ablation either by yttrium-90 implantation or by transethmoidal hypophysectomy. It was found that four of the 46 patients tested before ablation had an 'absent' GH response to insulin-induced hypoglycaemia. A comparison of the GH response to insulin-induced hypoglycaemia after yttrium implantation and transethmoidal hypophysectomy revealed no difference between the two procedures in the degree of pituitary ablation achieved. A partial GH deficiency occurred in 30% of patients after yttrium implantation but in only 4% after transethmoidal hypophysectomy.

Pituitary function after yttrium implants as measured by plasma growth hormone levels

Plasma growth hormone (GH) levels during insulin hypoglycaemia were measured in 30 women with implants of 90Y in the pituitary for advanced breast cancer. There was evidence of continued pituitary activity in six patients (20%), the rise in plasma GH level being greater than 4 ng/ml during hypoglycaemia. Thirteen patients (43%) were regarded as having complete ablations because they had no GH response and a fasting level of less than 4 ng/ml. In the remaining 11 patients (37%) there was no rise in the GH level during hypoglycaemia, but there were significant fasting levels. From the post-mortem evidence it was concluded that these patients also had adequate ablations.

This test is shown to be of more value in estimating residual pituitary function than routine tests of thyroid or adrenal function.

Benign and malignant breast disease in South Wales: a study of urinary steroids

The levels of aetiocholanolone, androsterone, and 17-hydroxycorticosteroids were measured in women without known disease of the breast, in women with benign breast disease, and in women with primary and advanced breast cancer. Statistical analysis showed there was no difference in the excretion of urinary 17-hydroxycorticosteroids in the various groups of patients. Detailed analysis of the aetiocholanolone and androsterone levels, however, indicated that patients with advanced localized disease excreted significantly less of these 11-deoxy-17-oxosteroids than those in the other groups.

Accuracy of screening methods for the diagnosis of breast disease

Clinical examination, thermography, and 70-mm. mammography were performed in 891 patients-414 presented to hospital with symptoms of breast disease and 477 were asymptomatic. Comparison of the diagnostic accuracy of these methods showed that neither thermography nor 70-mm. mammography has a useful place as an isolated screening procedure for breast cancer. In fact, we consider such a policy dangerous.

Radioactive implants of the pituitary for endocrine disease

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Recording the gross outlines of breast tumours. A pathological assessment of the accuracy of radiographs of breast cancers

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Management of Pituitary Tumours

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Recurrent Pericardial Effusion of Unknown Etiology: Report of a Case with Studies of the Circulation and of Absorption from the Pericardical Cavity

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Maintenance of normal human breast organoids within rat mammary fat pads in organ culture

Normal human breast organoids, derived by collagenase digestion of reduction mammaplasty tissue specimens, have been cultured in vitro for up to 28 days after injection into organ cultures of virgin rat mammary fat pads. The culture medium was serum-free Waymouth's MB 752/1 with hormonal additives. The rat mammary tissue responded well to growth-promoting and lactogenic stimuli in the culture medium, in agreement with previous investigations. Using immunohistochemistry casein was identified in rat epithelia exposed to lactogenic medium. Human organoids in culture remained viable but did not show hormone-responsiveness. Electron microscopy confirmed the presence of both luminal epithelial cells and myoepithelial cells. The serum-free culture of normal human breast organoids in a three-dimensional matrix provides a system in which to study factors controlling growth and differentiation.