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{{Main|Pituicytoma}} |
==Spindle cell oncocytoma== |
*Origin: Neurohypophysis or infundibulum. |
*Benign clinical course - WHO grade I. |
*Elongated bipolar, spindle cells. |
*Fascicular or storiform growth patterns. |
*EMA: patchy, S-100+/-ve, GFAP+/-ve, TTF1+ve. |
*It is thought that Spindle cell oncocytomas and Granular cell tumors of the neurohypophysis are variants of Pituicyoma.<ref>{{Cite journal | last1 = Mete | first1 = O. | last2 = Lopes | first2 = MB. | last3 = Asa | first3 = SL. | title = Spindle cell oncocytomas and granular cell tumors of the pituitary are variants ... |
==Granular cell tumor of the sellar region== |
{{Main|Granular_cell_tumour}} |
*Origin: Neurohypophysis or infundibulum. |
*Benign clinical course - WHO grade I. |
*Well circumscribed. |
*Polygonal cells with abundant granular cytoplasm. |
*CD68+ve, S-100+/-ve, GFAP+/-ve, TTF1+ve. |
<gallery> |
File:Granular_cell_tumor_pituitary.jpg | Granular cell tumor of the sellar region (HE). |
</gallery> |
==Autoimmune hypophysitis== |
===General=== |
Features:<ref name=pmid18388197/> |
*Rare. |
*Autoantigens are unknown. |
*May occur in pregnancy. |
*May be misdiagnosed as a nonsecreting adenoma. |
===Microscopic=== |
Features:<ref name=pmid18388197>{{cite journal |author=Tzou SC, Lupi I, Landek M, ''et al.'' |title=Autoimmune hypophysitis of SJL mice: clinical insights from a new animal model |journal=Endocrinology |volume=149 |issue=7 |pages=3461–9 |year=2008 |month=July |pmid=18388197 |pmc=2453094 |doi=10.1210/en.2007-1692 |url=}... |
*Lymphocytic infiltration. |
<gallery> |
File:Lymphocytic_hypophysitis_CD3.jpg | Lymphocytic hypophysitis, CD3 IHC. (WC/jensflorian) |
</gallery> |
=See also= |
*[[CNS cytopathology]]. |
*[[Neuropathology]]. |
*[[Brain tumours]]. |
=References= |
{{reflist|2}} |
=External links= |
*[http://www.neuropathologyweb.org/ Neuropathology] - neuropathologyweb.org. |
*[http://www.lab.anhb.uwa.edu.au/mb140/corepages/endocrines/endocrin.htm Endocrine histology (anhb.uwa.edu.au)]. |
[[Category:Neuropathology]] |
fbfc11b83f334e34769b285f195f29b276504ea3a5e92df98700cfa84b1853cf librepath-pituitary-gland.txt |
{{ Infobox diagnosis |
| Name = {{PAGENAME}} |
| Image = Schwannoma - Antoni A and B - very high mag.jpg |
| Width = |
| Caption = Schwannoma showing Antoni A and Antoni B areas. [[HPS stain]]. |
| Micro = Antoni A areas (cellular, fibrillary, polar, elongated), Antoni B area (pauci-cellular, loose microcystic tissue), Verocay bodies (paucinuclear area surrounded by nuclei), hyaline thickened [[blood vessel]]s, thick capsule. |
+/-peripheral lymphoid cuff (esp. GI tract) |
| Subtypes = conventional schwannoma, cellular schwannoma, plexiform schwannoma, melanotic schwannoma |
| LMDDx = [[meningioma]], [[leiomyoma]], [[GIST]], [[intranodal palisaded myofibroblastoma]], [[MPNST]], [[neurofibroma]], [[biphenotypic sinonasal sarcoma]] |
| Stains = |
| IHC = S-100 +ve, EMA -ve, CD34 +ve |
| EM = |
| Molecular = |
| IF = |
| Gross = |
| Grossing = |
| Site = [[soft tissue lesions|soft tissue]] - [[peripheral nerve sheath tumours]] |
| Assdx = |
| Syndromes = [[neurofibromatosis type 2]], [[Carney complex]] (psammomatous melanotic schwannoma), schwannomatosis |
| Clinicalhx = |
| Signs = |
| Symptoms = |
| Prevalence = common |
| Bloodwork = |
| Rads = |
| Endoscopy = |
| Prognosis = good |
| Other = |
| ClinDDx = [[meningioma]] - esp. at [[cerebellopontine angle]] |
}} |
'''Schwannoma''' is a relatively common [[peripheral nerve sheath tumour]]. |
At the [[cerebellopontine angle|cerebellopontine (CP) angle]], they may be referred to as ''acoustic neuroma'' or ''vestibular schwannoma''. |
==General== |
*A common [[neuropathology]] [[CNS tumours|tumour]] that occasionally shows-up elsewhere. |
*often encapsulated tumour of tissue surrounding a nerve. |
**Axons adjacent to the tumour are normal... but may be compressed. |
*May be a part of [[neurofibromatosis type 2]]. |
*Occurs at all ages. |
==Macro== |
*Usu. encapsulated. |
*Cystic. |
*Yellow patches on white surface. |
**Variable lipidization. |
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