A 48-year-old man seeks medical attention because his friend…
A 48-year-old man seeks medical attention because his friends have remarked about changes in his appearance. His shoe size has increased from 9 to 11 over the past 5 years. His dental plate has also had to be remade three times in 6 years. Physical exam reveals: coarse physical features, an enlarged tongue, and enlarged hands and feet with spade like fingers. Lab reveals a fasting blood glucose of 180 mg/dl. An MRI reveals a large pituitary mass. What is the most probable cause of his condition?
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