text stringlengths 0 5.79k |
|---|
*Chromophobes (50% of cells) = amphophilic (purplish/grey). |
Notes: |
*The cellular product (i.e. hormone produced) is not strictly correlated with the cell type.<ref name=Ref_PSNP26>{{Ref PSNP|26}}</ref> |
*The cells can be typed using [[IHC]]; somatotrophs (GH), lactotrophs (PRL), corticotrophs (ACTH), thyrotrophs (TSH), gonadotrophs (FSH, LH).<ref>{{Ref PBoD8|1098-9}}</ref> |
====Posterior==== |
Features:<ref name=Ref_PSNP26>{{Ref PSNP|26}}</ref> |
*Herring bodies - '''key feature'''. |
**Eosinophilic axonal dilations filled with lysosomes and neurosecretory granules. |
*Less cellular. |
**Usually more cellular in perivascular location. |
Image: [http://www.ouhsc.edu/histology/Glass%20slides/38_09.jpg Herring bodies (ouhsc.edu)]. |
<gallery> |
File:Pituitary gland histology 2014.jpg | Pituitary gland, low magnification (WC/Athikhun.suw) |
</gallery> |
=DDx for sella turcica lesions= |
*[[Pituitary adenoma|PitNET]]. |
*[[Rathke cleft cyst]]. |
*[[Craniopharyngioma]]. |
*[[Germ cell tumour]]. |
*[[Meningioma]]. |
=Pituitary necrosis= |
*Rare. |
===Causes of pituitary necrosis=== |
*Sheehan syndrome - secondary to blood loss in childbirth.<ref>URL: [http://www.mayoclinic.com/health/sheehans-syndrome/DS00889 http://www.mayoclinic.com/health/sheehans-syndrome/DS00889]. Accessed on: 16 November 2010.</ref> |
*[[Syphilis]] (fetal-maternal transmission).<ref>URL: [http://pediatrics.aappublications.org/cgi/content/full/104/1/e4 http://pediatrics.aappublications.org/cgi/content/full/104/1/e4]. Accessed on: 16 November 2010.</ref> |
*Mollaret's meningitis - very rare.<ref name=pmid18715308>{{cite journal |author=Dancer CM, Woods ML, Henderson RD, Robertson T, Mungomery M, Allworth A |title=Mollaret's meningitis and pituitary failure associated with a Rathke's cleft cyst |journal=Intern Med J |volume=38 |issue=7 |pages=609–11 |year=2008 |month=July... |
*Spontaneous necrosis of pituitary tumours - case reports.<ref>{{cite journal |author=Sachdev Y, Evered DC, Hall R |title=Spontaneous pituitary necrosis |journal=Br Med J |volume=1 |issue=6015 |pages=942 |year=1976 |month=April |pmid=1268492 |pmc=1639254 |doi= |url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1639254/pd... |
Images: |
*[http://path.upmc.edu/cases/case288.html Pituitary necrosis - several images (upmc.edu)]. |
=Specific entities= |
==Pituitary neuroendocrine tumor (PitNET)== |
Old terminology '''Pituitary adenoma''' is depreceated. |
The WHO 2022 Classification of tumours of endocrine organs recoginizes following tumours:<ref>{{cite journal |vauthors=Asa SL, Mete O, Perry A, Osamura RY |title=Overview of the 2022 WHO Classification of Pituitary Tumors |journal=Endocr Pathol |volume=33 |issue=1 |pages=6–26 |date=March 2022 |pmid=35291028 |doi=10.100... |
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto" |
! PitNET lineage |
! PitNET type |
! subtypes |
! Hormone IHC |
! Transcription factor IHC |
|- |
| PIT1 |
| Somatotroph tumor |
| Densely and sparsely granulated tumor |
| GH, a-subunit+/-, CK+ |
| PIT1 |
|- |
| PIT1 |
| Lactotroph tumor |
| Densely and sparsely granulated tumor |
| PRL, CK-ve or weak |
| PIT1, [[Estrogen receptor|ER]] |
|- |
| PIT1 |
| Mammosomatotroph tumor |
| |
| GH, PRL (usu. less), CK perinuclear +ve |
| PIT1, [[Estrogen receptor|ER]] |
|- |
| PIT1 |
| Thyrotroph tumor |
| |
| TSH, CK-ve or weak |
| PIT1, GATA3 |
|- |
| PIT1 |
| Mature plurihormonal PIT1 lineage tumor |
| |
| GH, PRL, TSH, a-subunit +/-ve, CK perinuclear |
| PIT1, [[Estrogen receptor|ER]], GATA3 |
|- |
| PIT1 |
| Immature PIT1 lineage tumor |
| |
| Only focal GH, PRL, TSH, a-subunit +/-ve, CK variable |
| PIT1, [[Estrogen receptor|ER]] +/-ve, GATA3 +/-ve |
|- |
| PIT1 |
| Acidophilic stem cell tumor |
| |
| PRL, GH (focal/variable), CK fibrous bodies |
| PIT1, [[Estrogen receptor|ER]] |
|- |
| PIT1 |
| Mixed somatotroph and lactotroph tumor |
| |
| PRL, GH (in separate cells) |
| PIT1, [[Estrogen receptor|ER]] (only in lactotroph component) |
|- |
| TPIT |
| Corticotroph tumor |
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