How should acromegaly be treated?

Patient's question:

From appearance, it looks like acromegaly, but my friend is already 22 years old, and the bones have also grown fully. Previously, they were unaware of this condition and did not receive treatment. What should be done about acromegaly?

Doctor's answer:

(1) Surgical treatment: The essential treatment for the majority of pituitary GH adenomas. The primary surgical method is transsphenoidal adenomectomy. Most diagnosed patients are generally suitable for surgical treatment. Some patients may not be suitable for surgical treatment and should consider drug treatment. For certain patients, after drug treatment, they may become more suitable for surgery, reducing surgical risks and stabilizing surgical outcomes.
(2) Drug treatment: Includes somatostatin analogs (SSAs), dopamine receptor agonists, and GH receptor antagonists. SSAs are currently the essential drugs for treatment, playing a role in all five stages of acromegaly treatment.
(3) Conversion treatment after radiotherapy; Complication treatment. Radiotherapy: Most commonly used for the configuration treatment of postoperative incomplete remission and residual tumors.

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