Treatment of Acromegaly
Best hospitals and doctors for acromegaly treatment abroad
Cost for treatment
University Hospital of Ludwig Maximilian University of Munich
Department of Endocrinology, Rheumatology and Nephrology
Primus Super Speciality Hospital New Delhi
Department of Endocrinology
University Hospital Carl Gustav Carus Dresden
Department of Endocrinology, Diabetology and Metabolic Disorders
University Hospital RWTH Aachen
Department of Gastroenterology, Metabolic Disorders and Internal Intensive Medicine
University Hospital Jena
Department of Nephrology, Rheumatology, Osteology and Endocrinology
University Hospital Frankfurt am Main
Department of Gastroenterology, Pulmonology, Allergology and Endocrinology
University Hospital Bonn
Department of Gastroenterology, Hepatology, Nephrology, Infectious Diseases, Endocrinology and Diabetology
University Hospital Halle (Saale)
Department of Nephrology, Rheumatology, Endocrinology and Diabetology
University Hospital Marburg UKGM
Department of Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology
Charite University Hospital Berlin
Department of Endocrinology and Metabolic Disorders
University Hospital Rechts der Isar Munich
Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology
University Hospital Muenster
Department of Gerneral Internal Medicine, Gastroenterology and Metabolic Disorders (Medical Department B)
University Hospital Duesseldorf
Department of Endocrinology and Diabetology
University Hospital Cologne
Department of Endocrinology
University Hospital Giessen UKGM
Department of Endocrinology, Diabetology, Metabolism and Nutritional Medicine
Acromegaly is a condition that causes bones and organs start to grow abnormally and exceed their normal size. Acromegaly develops when there is excessive production of the growth regulatory hormone. As a result, teenagers can grow to abnormal heights. Most commonly, acromegaly affects the face, legs and arms.
The growth hormone is produced in the pituitary gland. According to the National Institute of Health, over 95% of adults and teenagers with acromegaly have a benign tumor of the brain, which has affected and damaged the pituitary gland. This kind of tumor is also known as an adenoma. It is a very common type of tumor, affecting approximately 17% of the world’s population. Adenomas are not usually dangerous and do not cause acromegaly. Acromegaly is most common in people who have already reached puberty. It develops gradually and some months may pass before a sufferer notices changes in their height. Middle-aged people are most at risk of developing this condition if they have adenoma in the brain, which is why they should be observed by the doctor regularly.
- Joints become enlarged and look abnormal for the age of a teenager
- Shoe size changes too rapidly
- Excessive hair growth
- Unexpected growth spurs
- Weight gain
- Uncommon hormonal changes
- Abnormal sweating
- Swollen joints
- A blood test can determine the amount of growth hormone is present in the patient’s bloodstream. They may also be asked to drink a small amount of glucose, which normally suppresses the amount of growth hormone in the blood. In people with acromegaly, however, the glucose intake has no effect and the amount of growth hormone in the blood stays high.
- An X-ray of various joints can establish whether the patient’s bones have become abnormal in size. The X-ray needs to be done repeatedly over a period of time in order to see continuous changes in bone size.
- MRI and CT scans can be used to examine the patient’s soft tissue and inner organs to see if they have also grown abnormally. It is important to determine this, because an enlarged heart, liver or kidneys can be a dangerous condition in itself and would need to be treated immediately. Scans are also used for the diagnosis of adenomas in the brain.
- Surgical treatment includes the resection of pituitary adenomas, which put pressure on the pituitary gland and cause it to produce too much growth hormone. In most cases, surgery is successful.
- Radiation therapy is required if sections of the tumor remain after surgical resection.
- Medication to shrink the tumor is prescribed if surgery was unsuccessful. Special drugs are used that avoid affecting the pituitary gland.