Commercial Off-The-Shelf (COTS) Definition - What does Commercial Off-The-Shelf (COTS) mean? Commercial off-the-shelf (COTS) is a term that references non-developmental items (NDI) sold in the commercial marketplace and used or obtained through government contracts. The set of rules for COTS is defined by the Federal Acquisition Regulation (FAR).
Acromegaly is usually caused by a non-cancerous tumor in the pituitary gland called a pituitary adenoma. The tumor produces too much GH and raises the level of GH in the blood. Too much GH also raises the level of insulin-like growth factor-1 (IGF-1), a hormone produced in the liver that also promotes growth. Rarely, acromegaly is caused by hormone-producing tumors in other parts of the body.
Hand Tumors and Wrist Tumors. Any abnormal lump or bump in the hand or wrist is considered a tumor. The term âtumorâ does not necessarily mean it is malignant or that it is a cancer. In fact, most hand and wrist tumors are benign (not cancer). Tumors can occur on the skin, such as a mole or a wart, or underneath the skin in the soft tissue or even the bone.