Objective: GH-secreting pituitary adenomas frequently co-secrete prolactin and glycoprotein hormone alpha-subunit (aSU), but expression of additional hormones is considered unusual. The aim of this study was to establish the frequency with which acromegalic tumours secrete intact glycoprotein hormones LH, FSH and TSH, in comparison with other types of pituitary adenoma. Design and methods: Pituitary tumours were studied by cell culture, measuring the basal secretion of anterior pituitary hormones in vitro. Light microscopy was used to exclude tumours where normal pituitary tissue was present, and immunocytochemistry was employed to confirm the clinical diagnosis and for comparison with tissue culture data. Results: TSH secretion was observed in vitro in 15/23 somatotroph adenomas, but from only 1/8 lactotroph, 4/29 null cell, 2/12 gonadotroph and 1/10 corticotroph adenomas; moreover, somatotroph adenomas secreted the largest amounts of TSH (P < 0.001). Somatotroph adenomas also secreted LH (7/23) and FSH (2/23) but less frequently than gonadotroph adenomas. Immunocytochemistry demonstrated glycoprotein expression in somatotroph adenomas (LHb: 13%, FSHb: 26%, TSHb: 30%, aSU: 46%) more frequently than in lactotroph, corticotroph and null cell adenomas. A strong correlation was found between aSU secretion and TSH secretion in somatotroph adenomas (rho ¼ 0.683, P < 0.001). Conclusions: TSHb is frequently expressed by somatotroph adenomas, often associated with aSU expression. Both GH and TSHb are dependent on the transcription factor, Pit-1, which is frequently expressed in somatotroph adenomas, although the expression of aSU requires an alternative explanation. Increased expression of aSU compared with TSHb may account for the secretion of free aSU by somatotroph adenomas.