Diagnosis and Treatment of Nonfunctioning Pituitary Adenomas with Thyroid Disorders

Table 4

The diagnosis and therapy strategies of different types of thyroid dysfunction that could be combined in patients with NFPA.

Type of thyroid dysfunction	TSH	FT3	FT4	Danger	Therapy
CH	Normal or decrease	Normal or decrease	Decrease	Long-term hypothyroidism	Surgery + L-T4
NFPA combined with primary hyperthyroidism	Decrease	Elevate	Elevate or normal	Ignorance of hyperthyroidism	Surgery + long-term treatment of hyperthyroidism
NFPA combined with primary hypothyroidism	Elevate	Normal or decrease	Decrease	Misdiagnosed as TSHoma; ignorance of hypothyroidism	Surgery + long-term L-T4