1.     My diagnosis is Gigantism. The patient
presents with textbook symptoms including the excessive growth of the whole
body (often seen in children), some vision loss, and enlarged cheeks and bones.

The patient also has radiology findings that show a tumor located on the pituitary

2.     The pituitary gland is affected and the
hormone it produces is the growth hormone. In the cause of Gigantism, the
hormone is hypersecreted.

3.     The symptoms of this condition include:

vision loss

facial features (mostly the jaw and forehead)


sweat production

girls; irregular menstruation and release of breastmilk

growth all over (in children)




in voice

growth hormone is responsible for height, weight and sexual development. If
there is too much growth hormone production it can lead to growth problems in

4.     This would be hormonal because hormonal
stimuli are caused by the release of a hormone in response to another hormone.

In this case, the growth hormone is being released by the anterior pituitary gland
in response to the growth releasing a hormone in the hypothalamus. The hormone
is impacted by this condition because it causes an overproduction of growth
hormone, which can lead to a variety of problems, including poor growth in children.

5.     Although this condition is rare, it has
been associated with other rare endocrine conditions. Having one of these
conditions could put someone at risk of developing this condition. An excess
production of the growth hormone can also be passed down genetically through a
mutated gene.

6.     The most favorable treatment option is
surgery in order to remove the tumor. However, surgery is not always an option.

Another way to treat the condition is through medication. This can shrink the
tumor or slow the production of the hormone. The least favorable option for
treatment with children is Gramma Knife Radiosurgery. This treatment is usually
done as a last resort. It can take years to kill the tumor and to be effective.

7.     The prognosis for the condition is
typically good and with treatment, most go on to live a fulfilled life. If caught
early, treatment can sometimes reverse some of the effects caused by the over
production of growth hormone.


Diaz-Thomas, Alicia, et al. “Gigantism and
Acromegaly.” Edited by Sasigarn A Bowden, Practice Essentials, Background, Pathophysiology and Etiology, Medscape, 5 Sept. 2017,

Eugster, Erica. “Gigantism.” Endotext Internet.,
U.S. National Library of Medicine, 6 Feb. 2015, www.ncbi.nlm.nih.gov/books/NBK279155/.

“Gigantism .” You and Your Hormones, www.yourhormones.info/endocrine-conditions/gigantism/.

“Gigantism.” MedlinePlus Medical Encyclopedia, U.S National Library of Medicine, 21 Dec.

2017, medlineplus.gov/ency/article/001174.htm.

Kim, Steve. “Gigantism: Causes, Symptoms &
Diagnosis.” Healthline, Healthline Media, 16 Nov. 2015, www.healthline.com/health/gigantism#treatment.

“Regulation of Hormone Production.” Regulation of Hormone Production | Boundless Biology,


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