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Peer-reviewed veterinary case report

Dog with diabetes and pituitary tumor treated by surgery

By Meij, Anika S et al.·Published in Frontiers in veterinary science·2026·Animal Referral Centre·View original on PubMed

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Original publication title: Case Report: Treatment of hypersomatotropism in a diabetic dog with transsphenoidal hypophysectomy.

Species:
dog

Plain-English summary

A 10-year-old Staffordshire Bull Terrier was brought in for excessive thirst and urination, breathing difficulties, and poorly controlled diabetes. Tests showed he had a pituitary tumor causing high levels of growth hormone, which was contributing to his diabetes. The tumor was surgically removed, and his hormone levels returned to normal shortly after the operation. However, despite the surgery, he continued to need insulin for his diabetes, and unfortunately, he was euthanized about nine months later due to ongoing health issues.

People also search for: dog diabetes treatment · Staffordshire Bull Terrier insulin dependency · pituitary tumor in dogs

Abstract

BACKGROUND: Pituitary somatotroph adenoma is rare in dogs and may cause hypersomatotropism (HS) leading to insulin resistance and diabetes mellitus (DM). CASE DESCRIPTION: A 10-year-5-month-old neutered male Staffordshire Bull Terrier presented with polyuria, polydipsia, progressive inspiratory stridor, and poorly controlled DM with hyperinsulinemia and insulin resistance. Serum insulin-like growth factor (IGF-1) was markedly elevated (1,214 ng/mL; reference interval, 42-449 ng/mL) and suggested HS which was further supported by a somatostatin suppression test. Magnetic resonance and computed tomography (CT) imaging revealed a pituitary mass, organomegaly, and arthropathy. TREATMENT AND OUTCOME: The pituitary mass was removed by transsphenoidal hypophysectomy. Immunohistochemistry confirmed a growth hormone (GH)-producing pituitary adenoma. Postoperatively, GH normalized within hours, and IGF-1 values within a week. Although HS resolved and hyperinsulinemia improved postoperatively, the dog remained dependent on insulin and DM persisted which eventually led to euthanasia of the dog about 9 and a half months post-operatively. CONCLUSION: Transsphenoidal hypophysectomy was effective in normalization of GH and IGF-1 concentrations in a dog diagnosed with a pituitary somatotroph adenoma but the postoperative course was characterized by persistent insulin dependency and DM.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/41822230/