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ea0063p736 | Pituitary and Neuroendocrinology 2 | ECE2019

Prevalence of silent acromegaly in prolactinomas (PASP): an Italian experience

Bona Chiara , Prencipe Nunzia , Mantonavi Giovanna , Lanzi Roberto , Jaffrain-Rea Marie-Lise , Ambrosio Maria Rosaria , Pasquali Daniela , Vettor Roberto , Cannavo Salvatore , Ghigo Ezio , Grottoli Silvia

Patients with prolactinomas may develop acromegaly during D2-agonists (DA), suggesting the existence of somatomammotroph adenomas with asynchronous secretion of GH and PRL. This may be due to the acquisition of somatotroph characteristics by lactotroph cells or to GH co-secretion by somatommammotroph cells unmasked after PRL inhibition by DA. The prevalence of silent acromegaly in prolactinomas during DA is 4.1%. The purpose of this study was to evaluate the somatotroph axis i...